Omegaven fish oil lipid emulsion, 10 grams

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

FISH OIL TRIGLYCERIDES 10 GM/100ML IV EMULSION

Payers reporting HCPCS B4187

Payer pricing summary

Low

Average

$123

Median

$77

High

$826

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +12 other terms	139	$16	$18	$9	51%	—	$12 – $60
2	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	113	$210	$232	$142	61%	—	$0 – $715
3	Aetna fee schedule · outpatient · +13 other terms	74	$16	$24	$17	70%	—	$8 – $97
4	UnitedHealthcare fee schedule · outpatient · +15 other terms	70	$16	$71	$51	72%	—	$8 – $116
5	Anthem fee schedule · outpatient · +9 other terms	38	$16	$16	$0	0%	—	$16 – $16
6	Cigna fee schedule · outpatient · +11 other terms	33	$16	$19	$7	37%	—	$11 – $49
7	Bcbs Tx fee schedule · outpatient · +3 other terms	29	$376	$338	$114	34%	—	$139 – $586
8	Molina case rate · outpatient · +8 other terms	29	$17	$18	$3	16%	—	$16 – $24
9	Kaiser fee schedule · outpatient · +7 other terms	24	$16	$16	—	—	—	$16 – $16
10	Devoted fee schedule · outpatient · +3 other terms	19	$16	$16	—	—	—	$16 – $16
11	Medicare fee schedule · outpatient	18	$16	$16	—	—	—	$16 – $16
12	Caresource fee schedule · outpatient · +4 other terms	17	$16	$16	$0	1%	—	$16 – $17
13	WellCare case rate · outpatient · +7 other terms	14	$17	$17	$1	4%	—	$16 – $18
14	Wellmark fee schedule · both · +1 other terms	13	$16	$16	$0	0%	—	$16 – $16
15	Aetna Better Health fee schedule · outpatient · +7 other terms	12	$13	$14	$1	9%	—	$13 – $16
16	Bcbs Nj fee schedule · outpatient · +1 other terms	12	$99	$99	$8	8%	—	$95 – $114
17	Highmark fee schedule · outpatient · +6 other terms	12	$12	$18	$26	147%	—	$12 – $150
18	Ambetter case rate · outpatient · +8 other terms	11	$24	$24	$1	4%	—	$24 – $26
19	Medica fee schedule · outpatient · +9 other terms	10	$32	$33	$8	25%	—	$20 – $42
20	Optum fee schedule · outpatient · +4 other terms	10	$16	$16	—	—	—	$16 – $16
21	Cigna Healthspring fee schedule · outpatient · +1 other terms	9	$17	$17	—	—	—	$17 – $17
22	Medical Mutual facility · fee schedule · outpatient	9	$17	$21	$4	21%	—	$17 – $26
23	Premera fee schedule · outpatient · +2 other terms	9	$29	$27	$5	17%	—	$20 – $35
24	Ucare fee schedule · both · +6 other terms	9	$18	$18	—	—	—	$18 – $18
25	Bcbs Mn fee schedule · both · +3 other terms	8	$16	$16	$1	6%	—	$15 – $17

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