Injection of aztreonam with avibactam, 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

Aztreonam/avibactam 10 mg

Payers reporting HCPCS J0458

Payer pricing summary

Low

Average

$432

Median

$312

High

$1.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +18 other terms	275	$3	$56	$582	1048%	—	$2 – $6.5k
2	Aetna facility · fee schedule · outpatient · +17 other terms	112	$2	$41	$202	494%	—	$2 – $1.1k
3	Humana fee schedule · outpatient · +15 other terms	84	$2	$291	$1.4k	472%	—	$2 – $6.8k
4	Cigna facility · fee schedule · outpatient · +17 other terms	68	$2	$137	$279	204%	—	$2 – $749
5	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	64	$3	$4	$2	47%	—	$1 – $9
6	Anthem fee schedule · outpatient · +12 other terms	61	$2	$315	$1.4k	440%	—	$2 – $6.5k
7	WellCare fee schedule · outpatient · +6 other terms	48	$2	$2	$0	6%	—	$2 – $2
8	Molina facility · fee schedule · outpatient · +11 other terms	46	$2	$2	$0	20%	—	$1 – $3
9	Devoted facility · fee schedule · outpatient · +9 other terms	35	$2	$2	$0	4%	—	$2 – $2
10	Kaiser fee schedule · outpatient · +9 other terms	34	$2	$3	$3	90%	—	$2 – $13
11	Ambetter fee schedule · outpatient · +7 other terms	31	$3	$3	$0	14%	—	$3 – $5
12	Caresource facility · case rate · outpatient · +6 other terms	20	$4.2k	$3.4k	$2.3k	69%	—	$2 – $7.5k
13	Optum facility · fee schedule · outpatient · +9 other terms	19	$2	$206	$218	106%	—	$1 – $493
14	Tricare facility · fee schedule · outpatient · +6 other terms	19	$2	$211	$487	230%	—	$2 – $1.5k
15	Medicare fee schedule · outpatient · +3 other terms	18	$2	$2	—	—	—	$2 – $2
16	Medical Mutual facility · fee schedule · outpatient · +2 other terms	16	$2	$3	$1	50%	—	$2 – $6
17	Regence facility · fee schedule · outpatient · +3 other terms	16	$2	$2	$0	5%	—	$1 – $2
18	Highmark facility · fee schedule · outpatient · +6 other terms	13	$3	$3	$1	40%	—	$2 – $5
19	Cigna Healthspring fee schedule · outpatient · +4 other terms	12	$2	$2	—	—	—	$2 – $2
20	Aetna Better Health fee schedule · outpatient · +3 other terms	11	$2	$2	$0	2%	—	$2 – $2
21	Sanford Health Plan fee schedule · outpatient · +3 other terms	11	$2	$2	—	—	—	$2 – $2
22	Medica facility · fee schedule · outpatient · +6 other terms	10	$2	$2	$0	13%	—	$2 – $3
23	Clover fee schedule · outpatient · +2 other terms	9	$2	$2	$0	5%	—	$2 – $2
24	Phcs facility · percent of total billed charges · bothfrom % of charges · +4 other terms	9	$890	$938	$193	21%	—	$644 – $1.4k
25	Ucare fee schedule · outpatient · +4 other terms	9	$2	$2	$0	25%	—	$2 – $4

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