Injection of high-dose aflibercept, per 1 mg

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

Inj Afilbercept Hd per 1 Mg - Eylea Hd

Payers reporting HCPCS J0177

Payer pricing summary

Low

$295

Average

$2.9k

Median

$1.0k

High

$20.8k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +22 other terms	532	$454	$478	$245	51%	—	$1 – $2.0k
2	Aetna fee schedule · outpatient · +21 other terms	351	$339	$568	$293	52%	—	$1 – $3.9k
3	Cigna fee schedule · outpatient · +15 other terms	302	$461	$791	$570	72%	—	$13 – $2.7k
4	Humana fee schedule · outpatient · +20 other terms	290	$312	$314	$41	13%	—	$1 – $736
5	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	282	$513	$765	$546	71%	—	$1 – $2.6k
6	Molina fee schedule · outpatient · +20 other terms	125	$438	$514	$433	84%	—	$1 – $4.8k
7	WellCare fee schedule · outpatient · +12 other terms	114	$318	$357	$120	34%	—	$290 – $771
8	Anthem fee schedule · outpatient · +20 other terms	101	$442	$550	$386	70%	—	$294 – $2.3k
9	Caresource fee schedule · outpatient · +7 other terms	70	$346	$336	$133	40%	—	$1 – $607
10	Devoted fee schedule · outpatient · +5 other terms	65	$311	$317	$23	7%	—	$283 – $365
11	Kaiser fee schedule · outpatient · +10 other terms	56	$452	$588	$443	75%	—	$246 – $2.7k
12	Ambetter facility · fee schedule · outpatient · +10 other terms	50	$548	$606	$153	25%	—	$311 – $839
13	Optum fee schedule · outpatient · +14 other terms	32	$305	$386	$155	40%	—	$277 – $881
14	Bcbs Tx fee schedule · outpatient	31	$1.4k	$1.3k	$613	46%	—	$309 – $2.6k
15	Oscar facility · fee schedule · outpatient · +13 other terms	25	$404	$442	$83	19%	—	$307 – $617
16	Clover fee schedule · outpatient · +4 other terms	24	$354	$338	$31	9%	—	$295 – $388
17	Medical Mutual facility · fee schedule · outpatient · +4 other terms	20	$426	$628	$322	51%	—	$164 – $1.4k
18	Regence facility · fee schedule · outpatient · +6 other terms	20	$319	$361	$127	35%	—	$265 – $769
19	Healthpartners fee schedule · outpatient · +7 other terms	19	$393	$390	$16	4%	—	$307 – $402
20	Aetna Better Health fee schedule · outpatient · +15 other terms	18	$319	$330	$18	5%	—	$311 – $352
21	Medicare fee schedule · outpatient · +6 other terms	18	$305	$304	$2	1%	—	$301 – $305
22	Highmark fee schedule · outpatient · +6 other terms	16	$429	$460	$315	68%	—	$174 – $4.8k
23	MultiPlan fee schedule · outpatient · +10 other terms	15	$575	$566	$47	8%	—	$320 – $575
24	Tricare facility · fee schedule · outpatient · +6 other terms	14	$346	$3.3k	$4.2k	129%	—	$292 – $9.8k
25	Wellmark fee schedule · both · +4 other terms	14	$321	$321	$0	0%	—	$320 – $321

Page 1 of 3 · 57 payers