Therapeutic drug given by tissue infiltration

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

Infiltration thera drug

Payers reporting HCPCS D9613

Payer pricing summary

Low

Average

$60

Median

$47

High

$234

Payer rate distribution

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#
1	Molina facility · case rate · outpatient · +5 other terms	29	$39	$43	$11	25%	—	$29 – $74
2	UnitedHealthcare professional · fee schedule · outpatient · +8 other terms	22	$16	$23	$10	42%	—	$13 – $39
3	Aetna fee schedule · outpatient · +7 other terms	20	$9	$26	$25	99%	—	$6 – $78
4	Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms	20	$95	$117	$74	64%	—	$86 – $389
5	Anthem facility · case rate · outpatient · +5 other terms	15	$41	$45	$11	23%	—	$28 – $70
6	Caresource facility · case rate · outpatient · +1 other terms	15	$42	$45	$10	23%	—	$28 – $71
7	Optum facility · case rate · outpatient · +1 other terms	13	$37	$41	$10	24%	—	$31 – $63
8	Cigna professional · fee schedule · outpatient · +2 other terms	10	$12	$11	$2	19%	—	$8 – $12
9	Humana facility · case rate · outpatient · +5 other terms	8	$32	$34	$2	5%	—	$32 – $36
10	Aetna Better Health facility · case rate · outpatient	7	$39	$39	$0	1%	—	$37 – $39
11	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$36	$36	$1	3%	—	$36 – $39
12	MultiPlan professional · percent of total billed charges · outpatientfrom % of charges	4	$234	$234	—	—	—	$234 – $234
13	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$66	$66	—	—	—	$66 – $66
14	Medica fee schedule · outpatient · +2 other terms	3	$22	$22	—	—	—	$22 – $22
15	Wellmark facility · case rate · outpatient	3	$125	$109	$34	32%	—	$51 – $138
16	Medicaid facility · case rate · outpatient	2	$32	$32	—	—	—	$32 – $32
17	Bcbs Id professional · fee schedule · outpatient	1	$87	$87	—	—	—	$87 – $87
18	Bcbs Mn fee schedule · outpatient	1	$88	$88	—	—	—	$88 – $88
19	Bcbs Nv fee schedule · outpatient	1	$9	$9	—	—	—	$9 – $9
20	Bcbs Vt professional · fee schedule · outpatient	1	$15	$15	—	—	—	$15 – $15
21	Highmark fee schedule · outpatient	1	$68	$68	$28	42%	—	$48 – $107
22	Regence facility · fee schedule · outpatient	1	$16	$16	—	—	—	$16 – $16
23	WellCare facility · case rate · outpatient	1	$32	$32	—	—	—	$32 – $32