Alpha-1 proteinase inhibitor injection, 10 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

ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 20 MG/ML (2 %) INTRAVENOUS SOLN

Payers reporting HCPCS J0257

Payer pricing summary

Low

Average

$435

Median

$220

High

$6.7k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	339	$8	$12	$10	81%	75	$0 – $95
2	UnitedHealthcare fee schedule · outpatient · +25 other terms	593	$9	$56	$671	1201%	—	$0 – $17.8k
3	Aetna fee schedule · outpatient · +21 other terms	381	$6	$158	$1.5k	935%	—	$1 – $19.1k
4	Cigna fee schedule · outpatient · +20 other terms	356	$8	$92	$874	949%	—	$5 – $10.9k
5	Humana fee schedule · outpatient · +20 other terms	338	$6	$42	$309	742%	—	$0 – $4.2k
6	Molina fee schedule · outpatient · +20 other terms	134	$8	$188	$816	435%	—	$4 – $7.5k
7	Anthem facility · fee schedule · outpatient · +17 other terms	124	$9	$68	$333	490%	—	$1 – $3.4k
8	WellCare fee schedule · outpatient · +15 other terms	115	$6	$6	$2	32%	—	$5 – $13
9	Caresource fee schedule · outpatient · +15 other terms	70	$7	$7	$2	31%	—	$1 – $11
10	Ambetter facility · fee schedule · outpatient · +15 other terms	68	$10	$35	$159	453%	—	$1 – $1.0k
11	Kaiser fee schedule · outpatient · +14 other terms	66	$8	$313	$1.6k	527%	—	$5 – $13.0k
12	Devoted fee schedule · outpatient · +7 other terms	62	$6	$6	$0	5%	—	$5 – $6
13	MultiPlan fee schedule · outpatient · +12 other terms	43	$9	$2.3k	$5.8k	250%	—	$0 – $19.5k
14	Highmark facility · fee schedule · outpatient · +13 other terms	32	$8	$10	$7	68%	—	$5 – $56
15	Medica fee schedule · outpatient · +16 other terms	32	$11	$60	$154	255%	—	$0 – $661
16	Optum fee schedule · outpatient · +12 other terms	32	$6	$127	$675	532%	—	$5 – $3.9k
17	Bcbs Tx fee schedule · outpatient · +3 other terms	31	$19	$18	$8	44%	—	$5 – $34
18	Oscar facility · fee schedule · outpatient · +14 other terms	25	$7	$8	$1	18%	—	$6 – $10
19	Clover fee schedule · outpatient · +5 other terms	24	$6	$6	$0	6%	—	$5 – $6
20	Tricare facility · fee schedule · outpatient · +11 other terms	24	$6	$909	$2.8k	306%	—	$5 – $15.0k
21	Medicare fee schedule · outpatient · +6 other terms	23	$6	$5	$0	1%	—	$5 – $6
22	Aetna Better Health fee schedule · outpatient · +9 other terms	22	$6	$6	$0	5%	—	$6 – $6
23	Healthpartners fee schedule · outpatient · +5 other terms	22	$7	$6	$0	5%	—	$6 – $7
24	Medical Mutual facility · fee schedule · outpatient · +7 other terms	21	$11	$12	$6	47%	—	$3 – $24
25	Regence facility · fee schedule · outpatient · +12 other terms	21	$6	$7	$2	32%	—	$5 – $13

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