Injection of lumasiran, 0.5 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

LUMASIRAN 94.5 MG/0.5 ML SUBCUTANEOUS SOLUTION

Payers reporting HCPCS J0224

Payer pricing summary

Low

$172

Average

$11.9k

Median

$1.0k

High

$132.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +14 other terms	542	$476	$555	$1.2k	217%	—	$150 – $22.7k
2	Aetna fee schedule · outpatient · +12 other terms	359	$341	$646	$1.6k	254%	—	$179 – $22.7k
3	Cigna fee schedule · outpatient · +14 other terms	323	$469	$761	$614	81%	—	$264 – $2.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	303	$496	$660	$418	63%	—	$1 – $2.4k
5	Humana fee schedule · outpatient · +13 other terms	297	$322	$607	$2.5k	405%	—	$239 – $23.8k
6	Molina fee schedule · outpatient · +9 other terms	124	$362	$457	$168	37%	—	$253 – $776
7	WellCare fee schedule · outpatient · +6 other terms	114	$329	$369	$116	32%	—	$299 – $745
8	Anthem fee schedule · outpatient · +11 other terms	104	$459	$872	$2.6k	299%	—	$299 – $22.7k
9	Devoted fee schedule · outpatient · +3 other terms	66	$329	$327	$16	5%	—	$300 – $352
10	Caresource fee schedule · outpatient · +5 other terms	56	$419	$416	$98	23%	—	$319 – $642
11	Kaiser fee schedule · outpatient · +8 other terms	56	$492	$606	$418	69%	—	$262 – $2.4k
12	Ambetter facility · fee schedule · outpatient · +5 other terms	52	$579	$614	$142	23%	—	$318 – $811
13	Optum fee schedule · outpatient · +7 other terms	33	$322	$428	$189	44%	—	$292 – $941
14	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$1.1k	$1.0k	$453	44%	—	$299 – $2.0k
15	Oscar facility · fee schedule · outpatient · +7 other terms	25	$421	$464	$86	19%	—	$328 – $609
16	Clover fee schedule · outpatient · +3 other terms	24	$348	$343	$21	6%	—	$312 – $375
17	Aetna Better Health fee schedule · outpatient · +7 other terms	22	$329	$344	$25	7%	—	$328 – $396
18	Medical Mutual facility · fee schedule · outpatient · +4 other terms	21	$614	$688	$325	47%	—	$178 – $1.4k
19	Regence facility · fee schedule · outpatient · +4 other terms	21	$341	$388	$132	34%	—	$280 – $764
20	Healthpartners fee schedule · outpatient · +5 other terms	20	$380	$377	$14	4%	—	$324 – $388
21	Medicare fee schedule · outpatient · +2 other terms	19	$322	$321	$4	1%	—	$303 – $322
22	Highmark fee schedule · outpatient · +6 other terms	16	$440	$446	$150	34%	—	$179 – $878
23	MultiPlan fee schedule · outpatient · +7 other terms	15	$535	$528	$38	7%	—	$329 – $535
24	Wellmark fee schedule · both · +4 other terms	14	$319	$319	$2	1%	—	$319 – $329
25	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$337	$326	$8	3%	—	$318 – $337

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