Injection of cerliponase alfa, per 1 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

CERLIPONASE ALFA 2 X 150 MG/5ML VE KIT

Payers reporting HCPCS J0567

Payer pricing summary

Low

$63

Average

$15.1k

Median

$3.8k

High

$118.4k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +20 other terms	469	$200	$739	$6.9k	930%	—	$47 – $141.2k
2	Aetna fee schedule · outpatient · +20 other terms	282	$123	$822	$4.5k	543%	—	$66 – $39.2k
3	Cigna fee schedule · outpatient · +17 other terms	254	$170	$866	$4.7k	544%	—	$96 – $44.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	248	$185	$2.7k	$20.9k	767%	—	$1 – $226.8k
5	Humana fee schedule · outpatient · +17 other terms	145	$120	$1.4k	$6.1k	442%	—	$102 – $36.4k
6	Anthem facility · fee schedule · outpatient · +17 other terms	93	$123	$1.1k	$5.8k	526%	—	$15 – $46.4k
7	Molina facility · fee schedule · outpatient · +12 other terms	69	$123	$242	$907	375%	—	$63 – $7.4k
8	WellCare fee schedule · outpatient · +8 other terms	65	$123	$124	$9	8%	—	$108 – $162
9	Kaiser fee schedule · outpatient · +8 other terms	56	$151	$1.1k	$5.4k	498%	—	$97 – $34.8k
10	Caresource fee schedule · outpatient · +7 other terms	46	$135	$1.8k	$7.8k	443%	—	$116 – $39.4k
11	Devoted fee schedule · outpatient · +4 other terms	46	$120	$118	$6	5%	—	$110 – $129
12	Ambetter fee schedule · outpatient · +5 other terms	39	$217	$225	$43	19%	—	$104 – $327
13	Optum fee schedule · outpatient · +12 other terms	33	$118	$157	$70	44%	—	$107 – $348
14	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$386	$351	$117	33%	—	$143 – $607
15	Aetna Better Health fee schedule · outpatient · +9 other terms	22	$120	$116	$7	6%	—	$105 – $122
16	Oscar facility · fee schedule · outpatient · +7 other terms	20	$182	$187	$26	14%	—	$159 – $223
17	Medicare fee schedule · outpatient · +4 other terms	18	$118	$118	$0	0%	—	$118 – $119
18	Regence facility · fee schedule · outpatient · +8 other terms	17	$126	$126	$8	6%	—	$102 – $149
19	Highmark fee schedule · outpatient · +5 other terms	16	$130	$132	$17	13%	—	$120 – $264
20	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$121	$161	$84	52%	—	$66 – $482
21	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$111	$112	$26	24%	—	$56 – $134
22	Wellmark fee schedule · both · +6 other terms	13	$116	$116	—	—	—	$116 – $116
23	Bcbs Nj fee schedule · outpatient	12	$110	$110	—	—	—	$110 – $110
24	Cigna Healthspring fee schedule · outpatient · +1 other terms	12	$126	$126	—	—	—	$126 – $126
25	Clover fee schedule · outpatient · +2 other terms	12	$123	$122	$8	7%	—	$114 – $134

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