Amphotericin B lipid complex injection

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

Amphotericin b lipid complex

Payers reporting HCPCS J0287

Payer pricing summary

Low

Average

$147

Median

$75

High

$809

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +21 other terms	544	$17	$44	$386	878%	—	$6 – $9.0k
2	Aetna fee schedule · outpatient · +21 other terms	329	$13	$195	$1.0k	518%	—	$9 – $9.6k
3	Cigna fee schedule · outpatient · +19 other terms	319	$17	$101	$539	532%	—	$8 – $5.5k
4	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	300	$21	$26	$17	65%	—	$1 – $127
5	Humana fee schedule · outpatient · +17 other terms	283	$11	$43	$135	317%	—	$8 – $2.1k
6	Anthem fee schedule · outpatient · +15 other terms	101	$15	$25	$56	228%	—	$9 – $774
7	WellCare fee schedule · outpatient · +9 other terms	93	$10	$12	$4	36%	—	$10 – $24
8	Molina fee schedule · outpatient · +18 other terms	92	$12	$134	$478	357%	—	$10 – $3.8k
9	Devoted fee schedule · outpatient · +8 other terms	53	$11	$11	$0	4%	—	$10 – $11
10	Kaiser fee schedule · outpatient · +15 other terms	49	$10	$357	$948	266%	—	$10 – $6.6k
11	Caresource fee schedule · outpatient · +9 other terms	45	$11	$13	$6	46%	—	$10 – $49
12	MultiPlan fee schedule · outpatient · +15 other terms	44	$114	$1.7k	$2.8k	164%	—	$10 – $9.9k
13	Ambetter facility · fee schedule · outpatient · +10 other terms	37	$18	$20	$5	24%	—	$10 – $26
14	Highmark facility · fee schedule · outpatient · +8 other terms	36	$15	$67	$88	131%	—	$10 – $373
15	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$38	$35	$16	44%	—	$10 – $68
16	Oscar facility · fee schedule · outpatient · +10 other terms	30	$13	$14	$3	21%	—	$11 – $21
17	Tricare facility · fee schedule · outpatient · +7 other terms	27	$10	$197	$531	269%	—	$9 – $2.3k
18	Optum fee schedule · outpatient · +9 other terms	25	$10	$141	$423	301%	—	$10 – $2.0k
19	Medicare fee schedule · outpatient · +5 other terms	23	$10	$10	$0	1%	—	$10 – $10
20	Aetna Better Health fee schedule · outpatient · +11 other terms	22	$10	$11	$1	5%	—	$10 – $12
21	Clover fee schedule · outpatient · +6 other terms	21	$11	$11	$1	4%	—	$10 – $12
22	Regence professional · fee schedule · outpatient · +7 other terms	19	$10	$10	—	—	—	$10 – $10
23	Medical Mutual fee schedule · outpatient · +4 other terms	17	$22	$21	$7	34%	—	$9 – $46
24	Wellmark fee schedule · both · +8 other terms	14	$10	$10	—	—	—	$10 – $10
25	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$10	$10	$2	23%	—	$5 – $12

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