Arbutamine hydrochloride 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

Arbutamine HCl injection

Payers reporting HCPCS J0395

Payer pricing summary

Low

$49

Average

$266

Median

$201

High

$850

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Cigna fee schedule · outpatient · +5 other terms	174	$302	$520	$352	68%	—	$146 – $1.4k
2	Aetna fee schedule · outpatient · +7 other terms	104	$289	$342	$267	78%	—	$130 – $1.7k
3	Humana fee schedule · outpatient · +5 other terms	69	$673	$1.1k	$646	61%	—	$154 – $1.9k
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	45	$309	$432	$294	68%	—	$124 – $1.0k
5	UnitedHealthcare fee schedule · both · +6 other terms	31	$205	$236	$68	29%	—	$192 – $562
6	Anthem facility · case rate · outpatient · +4 other terms	15	$47	$52	$12	23%	—	$32 – $80
7	Caresource facility · case rate · outpatient	15	$48	$52	$12	23%	—	$32 – $82
8	Molina facility · case rate · outpatient · +2 other terms	15	$47	$52	$12	23%	—	$33 – $80
9	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$145	$138	$40	29%	—	$75 – $181
10	Highmark fee schedule · outpatient · +2 other terms	12	$180	$176	$19	11%	—	$43 – $188
11	Optum facility · case rate · outpatient	11	$45	$49	$11	22%	—	$40 – $73
12	Medica fee schedule · outpatient · +4 other terms	10	$390	$393	$98	25%	—	$236 – $503
13	Ucare fee schedule · both	9	$159	$159	$4	3%	—	$155 – $163
14	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$158	$158	—	—	—	$158 – $158
15	Bcbs La fee schedule · outpatient · +1 other terms	6	$182	$182	—	—	—	$182 – $182
16	First Health facility · fee schedule · outpatient	4	$480	$480	—	—	—	$480 – $480
17	Bcbs Id facility · fee schedule · outpatient	3	$211	$188	$69	37%	—	$107 – $270
18	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$217	$217	—	—	—	$217 – $217
19	Bcbs Vt professional · fee schedule · outpatient	2	$423	$421	$123	29%	—	$163 – $613
20	MultiPlan professional · percent of total billed charges · bothfrom % of charges	2	$158	$158	—	—	—	$158 – $158
21	Bcbs Il professional · fee schedule · both	1	$214	$214	—	—	—	$214 – $214
22	Bcbs Nv fee schedule · outpatient	1	$160	$160	—	—	—	$160 – $160
23	Healthpartners facility · fee schedule · outpatient	1	$515	$515	—	—	—	$515 – $515
24	Kaiser fee schedule · outpatient	1	$336	$336	—	—	—	$336 – $336
25	Magellan fee schedule · outpatient	1	$171	$171	—	—	—	$171 – $171

Page 1 of 2 · 26 payers