Injection of amisulpride, 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

AMISULPRIDE 10 MG/4 ML (2.5 MG/ML) INTRAVENOUS SOLUTION

Payers reporting HCPCS J0184

Payer pricing summary

Low

Average

$73

Median

$26

High

$475

Payer rate distribution

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#
1	Wellmark fee schedule · outpatient · +8 other terms	20	$10	$10	—	—	50–86	$10 – $10
2	UnitedHealthcare fee schedule · outpatient · +18 other terms	550	$15	$15	$9	58%	2–20	$1 – $95
3	Aetna fee schedule · outpatient · +18 other terms	341	$10	$15	$11	77%	—	$5 – $96
4	Cigna fee schedule · outpatient · +14 other terms	255	$14	$25	$20	81%	—	$6 – $83
5	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	252	$14	$20	$13	66%	—	$1 – $70
6	Humana fee schedule · outpatient · +19 other terms	203	$10	$10	$3	28%	—	$8 – $30
7	WellCare fee schedule · outpatient · +8 other terms	113	$10	$11	$3	29%	—	$9 – $21
8	Anthem fee schedule · outpatient · +16 other terms	103	$12	$15	$10	67%	—	$9 – $72
9	Molina fee schedule · outpatient · +14 other terms	96	$11	$13	$9	68%	—	$7 – $98
10	Devoted fee schedule · outpatient · +5 other terms	65	$10	$10	$0	4%	—	$9 – $10
11	Kaiser fee schedule · outpatient · +7 other terms	54	$12	$17	$13	73%	—	$9 – $75
12	Ambetter facility · fee schedule · outpatient · +9 other terms	50	$17	$18	$4	22%	—	$9 – $23
13	Optum fee schedule · outpatient · +9 other terms	33	$9	$12	$5	43%	—	$9 – $27
14	Caresource fee schedule · outpatient · +7 other terms	30	$12	$12	$2	20%	—	$10 – $19
15	Oscar facility · fee schedule · outpatient · +7 other terms	27	$14	$14	$3	18%	—	$10 – $18
16	Bcbs Tx fee schedule · outpatient	26	$35	$33	$14	42%	—	$9 – $61
17	Clover fee schedule · outpatient · +3 other terms	24	$10	$10	$1	5%	—	$9 – $11
18	Medicare fee schedule · outpatient · +3 other terms	24	$9	$9	$0	3%	—	$9 – $10
19	Regence facility · fee schedule · outpatient · +1 other terms	20	$10	$11	$3	29%	—	$8 – $20
20	Aetna Better Health fee schedule · outpatient · +7 other terms	18	$10	$9	$0	5%	—	$9 – $10
21	Highmark fee schedule · outpatient · +6 other terms	16	$12	$13	$7	53%	—	$5 – $98
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$10	$13	$7	52%	—	$5 – $38
23	MultiPlan fee schedule · outpatient · +7 other terms	15	$15	$15	$1	7%	—	$10 – $15
24	Medica fee schedule · outpatient · +10 other terms	14	$10	$7	$5	67%	—	$0 – $10
25	Bcbs Mn fee schedule · outpatient · +7 other terms	13	$10	$10	$0	2%	—	$9 – $10

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