CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION

Payers reporting HCPCS J0613

Payer pricing summary

Low

Average

$72

Median

$68

High

$437

Payer rate distribution

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#
1	Caresource fee schedule · outpatient · +14 other terms	68	$0	$3	$8	267%	224–233	$0 – $51
2	Wellmark fee schedule · outpatient · +9 other terms	22	$0	$0	—	—	116	$0 – $0
3	UnitedHealthcare fee schedule · outpatient · +27 other terms	491	$0	$132	$694	526%	107–170	$0 – $13.9k
4	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	286	$0	$15	$104	715%	100	$0 – $2.1k
5	Anthem fee schedule · outpatient · +21 other terms	137	$0	$160	$440	276%	2–20	$0 – $2.1k
6	Kaiser fee schedule · both · +14 other terms	43	$0	$6	$69	1173%	2–20	$0 – $831
7	Cigna fee schedule · outpatient · +20 other terms	364	$0	$59	$285	484%	—	$0 – $2.9k
8	Aetna fee schedule · outpatient · +22 other terms	231	$0	$78	$360	459%	—	$0 – $3.0k
9	Humana fee schedule · outpatient · +19 other terms	147	$0	$26	$65	246%	—	$0 – $840
10	MultiPlan fee schedule · outpatient · +14 other terms	78	$74	$300	$606	202%	—	$0 – $3.4k
11	Medica fee schedule · outpatient · +15 other terms	42	$105	$693	$2.4k	346%	—	$0 – $9.1k
12	Highmark facility · fee schedule · outpatient · +12 other terms	41	$0	$0	$0	77%	—	$0 – $1
13	Molina fee schedule · outpatient · +18 other terms	36	$0	$16	$77	484%	—	$0 – $467
14	First Health fee schedule · outpatient · +13 other terms	31	$107	$302	$500	166%	—	$0 – $1.8k
15	Medcost facility · percent of total billed charges · bothfrom % of charges · +6 other terms	30	$98	$112	$62	56%	—	$11 – $198
16	Ambetter fee schedule · outpatient · +15 other terms	28	$0	$4	$16	469%	—	$0 – $85
17	Oscar facility · fee schedule · outpatient · +11 other terms	27	$0	$0	$0	10%	—	$0 – $0
18	WellCare fee schedule · outpatient · +15 other terms	27	$0	$2	$7	295%	—	$0 – $26
19	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$123	$109	$39	35%	—	$59 – $174
20	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +2 other terms	24	$86	$111	$106	95%	—	$0 – $541
21	Tricare fee schedule · both · +12 other terms	24	$13	$3	$6	207%	—	$0 – $18
22	Amerihealth Caritas other · outpatient · +10 other terms	23	$35	$584	$847	145%	—	$7 – $1.9k
23	Medicaid fee schedule · outpatient · +9 other terms	23	$131	$132	$150	114%	—	$0 – $494
24	Phcs fee schedule · inpatient · +11 other terms	22	$147	$79	$63	80%	—	$0 – $366
25	Aetna Better Health fee schedule · outpatient · +10 other terms	20	$0	$1	$3	236%	—	$0 – $9

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← Hospitals reporting HCPCS J0613 · Snapshot 20261111T120946Z-9134e7f7