Injection of liothyronine (thyroid hormone), per microgram

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

LIOTHYRONINE SODIUM 10 MCG/ML IV SOLN

Payers reporting HCPCS J0654

Payer pricing summary

Low

$21

Average

$818

Median

$595

High

$2.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +20 other terms	230	$65	$69	$24	35%	—	$1 – $149
2	Aetna facility · fee schedule · outpatient · +17 other terms	92	$41	$70	$96	136%	—	$38 – $625
3	Humana facility · fee schedule · outpatient · +17 other terms	76	$40	$40	$1	2%	—	$39 – $42
4	Blue Cross Blue Shield facility · fee schedule · outpatient · +17 other terms	72	$41	$58	$26	45%	—	$21 – $127
5	Molina facility · fee schedule · outpatient · +13 other terms	51	$39	$41	$12	28%	—	$21 – $93
6	Cigna facility · fee schedule · outpatient · +14 other terms	39	$41	$59	$41	69%	—	$19 – $231
7	Ambetter facility · fee schedule · outpatient · +9 other terms	34	$73	$72	$14	19%	—	$40 – $86
8	WellCare facility · fee schedule · outpatient · +11 other terms	33	$40	$41	$3	8%	—	$39 – $59
9	Anthem facility · fee schedule · outpatient · +15 other terms	28	$41	$59	$30	51%	—	$5 – $170
10	Devoted facility · fee schedule · outpatient · +9 other terms	26	$40	$40	$2	4%	—	$39 – $43
11	Baylor Scott White Health Plan facility · fee schedule · outpatient · +2 other terms	25	$50	$50	$10	20%	—	$37 – $65
12	Medicare fee schedule · outpatient · +3 other terms	24	$40	$40	$1	4%	—	$37 – $43
13	Kaiser fee schedule · outpatient · +8 other terms	23	$40	$96	$79	82%	—	$40 – $324
14	Superior Healthplan facility · fee schedule · outpatient · +3 other terms	21	$41	$41	$1	2%	—	$39 – $41
15	Caresource facility · case rate · outpatient · +7 other terms	18	$126	$128	$41	32%	—	$42 – $222
16	Phcs percent of total billed charges · outpatientfrom % of charges · +4 other terms	17	$350	$668	$823	123%	—	$47 – $2.4k
17	Regence facility · fee schedule · outpatient · +2 other terms	15	$41	$41	$1	1%	—	$40 – $42
18	Medical Mutual facility · fee schedule · outpatient · +3 other terms	13	$39	$47	$10	21%	—	$39 – $62
19	Optum facility · case rate · outpatient · +11 other terms	13	$116	$122	$37	31%	—	$62 – $197
20	Medcost facility · percent of total billed charges · bothfrom % of charges · +4 other terms	12	$2.5k	$2.4k	$838	35%	—	$858 – $3.6k
21	Healthpartners facility · percent of total billed charges · bothfrom % of charges	10	$1.6k	$1.8k	$1.0k	56%	—	$552 – $3.6k
22	Medicaid fee schedule · outpatient · +5 other terms	9	$1	$12	$18	150%	—	$1 – $42
23	Tricare facility · fee schedule · outpatient · +4 other terms	7	$40	$481	$699	145%	—	$38 – $1.6k
24	Aetna Better Health facility · case rate · outpatient · +6 other terms	6	$78	$78	—	—	—	$78 – $78
25	Amerihealth Caritas facility · case rate · outpatient · +3 other terms	6	$72	$72	—	—	—	$72 – $72

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