Injection of levothyroxine sodium, 10 mcg

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

J0652

Payers reporting HCPCS J0652

Payer pricing summary

Low

Average

$48

Median

$28

High

$295

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +16 other terms	490	$10	$13	$23	176%	—	$2 – $253
2	Cigna fee schedule · outpatient · +14 other terms	260	$10	$14	$10	73%	—	$4 – $44
3	Aetna fee schedule · outpatient · +14 other terms	221	$9	$11	$14	121%	—	$5 – $145
4	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	221	$10	$19	$24	125%	—	$1 – $245
5	Humana fee schedule · outpatient · +13 other terms	209	$5	$12	$38	323%	—	$4 – $471
6	Anthem fee schedule · outpatient · +12 other terms	85	$7	$11	$19	167%	—	$5 – $145
7	Molina fee schedule · outpatient · +9 other terms	73	$6	$19	$39	206%	—	$4 – $294
8	WellCare fee schedule · outpatient · +8 other terms	71	$5	$6	$2	38%	—	$5 – $12
9	Kaiser fee schedule · both · +8 other terms	41	$6	$6	$2	26%	—	$5 – $9
10	Caresource fee schedule · outpatient · +6 other terms	38	$6	$7	$2	25%	—	$5 – $9
11	MultiPlan fee schedule · outpatient · +7 other terms	33	$44	$61	$91	147%	—	$5 – $253
12	Bcbs Tx fee schedule · outpatient	31	$28	$26	$12	47%	—	$5 – $51
13	Devoted fee schedule · outpatient · +3 other terms	31	$5	$5	$0	4%	—	$5 – $6
14	Medica fee schedule · outpatient · +5 other terms	25	$35	$110	$88	80%	—	$5 – $248
15	Ambetter facility · fee schedule · outpatient · +8 other terms	22	$12	$11	$2	20%	—	$5 – $13
16	Clover fee schedule · outpatient · +5 other terms	19	$6	$6	$0	4%	—	$5 – $6
17	Optum facility · fee schedule · outpatient · +4 other terms	19	$5	$5	$0	4%	—	$4 – $5
18	Aetna Better Health fee schedule · outpatient · +4 other terms	18	$7	$7	$1	17%	—	$5 – $8
19	Healthpartners fee schedule · outpatient · +1 other terms	18	$6	$6	$0	2%	—	$6 – $6
20	Oscar facility · fee schedule · outpatient · +6 other terms	17	$6	$7	$1	15%	—	$6 – $10
21	Medical Mutual fee schedule · outpatient · +1 other terms	16	$11	$10	$2	20%	—	$7 – $12
22	Beechstreet percent of total billed charges · inpatientfrom % of charges · +1 other terms	15	$229	$295	$130	44%	—	$221 – $556
23	Wellmark fee schedule · both · +5 other terms	14	$5	$5	—	—	—	$5 – $5
24	Sanford Health Plan fee schedule · outpatient · +4 other terms	13	$5	$9	$13	134%	—	$5 – $49
25	Bcbs Nj fee schedule · outpatient · +3 other terms	12	$5	$7	$5	75%	—	$5 – $25

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