Treosulfan injection, 50 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

TREOSULFAN 50 MG/ML CHEMO INFUSION IN NS (WRAPPED)

Payers reporting HCPCS J0614

Payer pricing summary

Low

$16

Average

$2.8k

Median

$1.4k

High

$19.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +13 other terms	284	$52	$101	$562	556%	—	$31 – $6.5k
2	Aetna fee schedule · outpatient · +13 other terms	122	$32	$186	$957	514%	—	$17 – $6.5k
3	Humana fee schedule · outpatient · +13 other terms	88	$32	$281	$1.3k	453%	—	$30 – $6.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	73	$48	$223	$1.0k	453%	—	$17 – $8.2k
5	Cigna fee schedule · outpatient · +12 other terms	66	$32	$188	$739	392%	—	$30 – $4.4k
6	Anthem fee schedule · outpatient · +10 other terms	64	$32	$316	$1.3k	402%	—	$30 – $6.5k
7	WellCare fee schedule · outpatient · +5 other terms	47	$33	$33	$2	6%	—	$31 – $40
8	Molina facility · fee schedule · outpatient · +12 other terms	45	$32	$31	$6	20%	—	$16 – $65
9	Kaiser fee schedule · outpatient · +6 other terms	40	$32	$56	$45	80%	—	$25 – $254
10	Ambetter fee schedule · outpatient · +4 other terms	31	$58	$62	$9	14%	—	$53 – $85
11	Devoted fee schedule · outpatient · +2 other terms	30	$32	$33	$1	3%	—	$32 – $34
12	Caresource facility · case rate · outpatient · +5 other terms	20	$4.2k	$3.4k	$2.3k	68%	—	$32 – $7.5k
13	Medicare fee schedule · outpatient · +2 other terms	18	$32	$31	$0	2%	—	$31 – $32
14	Medical Mutual facility · fee schedule · outpatient · +1 other terms	16	$32	$47	$23	48%	—	$32 – $104
15	Regence facility · fee schedule · outpatient · +5 other terms	16	$32	$32	$1	4%	—	$27 – $33
16	Optum fee schedule · outpatient · +10 other terms	15	$32	$39	$19	49%	—	$32 – $90
17	Cigna Healthspring fee schedule · outpatient · +2 other terms	12	$34	$34	—	—	—	$34 – $34
18	Aetna Better Health fee schedule · outpatient · +3 other terms	11	$32	$32	$0	0%	—	$32 – $32
19	Sanford Health Plan fee schedule · outpatient · +3 other terms	11	$32	$34	$2	5%	—	$32 – $35
20	Medica facility · fee schedule · outpatient · +3 other terms	10	$32	$33	$4	12%	—	$32 – $52
21	Ucare facility · fee schedule · outpatient · +4 other terms	10	$32	$33	$1	4%	—	$32 – $37
22	Clover fee schedule · outpatient · +3 other terms	9	$33	$34	$2	6%	—	$31 – $36
23	Bcbs Mn fee schedule · outpatient · +2 other terms	8	$33	$33	—	—	—	$33 – $33
24	Healthpartners facility · fee schedule · outpatient · +1 other terms	7	$32	$32	—	—	—	$32 – $32
25	Oscar fee schedule · outpatient · +2 other terms	7	$41	$53	$18	34%	—	$36 – $93

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