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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

facility

Payers reporting HCPCS J0689

Payer pricing summary

Low

Average

$183

Median

$25

High

$2.0k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +25 other terms	431	$2	$39	$217	553%	525	$0 – $2.7k
2	Wellmark fee schedule · outpatient · +8 other terms	18	$1	$1	—	—	312–330	$1 – $1
3	Medica fee schedule · outpatient · +13 other terms	39	$3	$10	$31	329%	39–75	$0 – $198
4	Superior Healthplan facility · other · outpatient · +2 other terms	2	$6	$6	—	—	2–20	$6 – $6
5	Cigna fee schedule · outpatient · +16 other terms	312	$2	$16	$105	670%	—	$1 – $1.7k
6	Blue Cross Blue Shield fee schedule · outpatient · +24 other terms	219	$3	$14	$31	218%	—	$0 – $196
7	Aetna fee schedule · outpatient · +23 other terms	205	$3	$19	$38	196%	—	$1 – $485
8	Humana fee schedule · outpatient · +18 other terms	126	$1	$17	$24	143%	—	$0 – $126
9	Anthem fee schedule · outpatient · +20 other terms	91	$2	$66	$322	487%	—	$1 – $2.7k
10	MultiPlan fee schedule · outpatient · +14 other terms	58	$59	$101	$317	314%	—	$0 – $2.5k
11	Caresource fee schedule · outpatient · +9 other terms	42	$2	$6	$15	239%	—	$1 – $56
12	Kaiser fee schedule · both · +12 other terms	42	$2	$2	$0	29%	—	$1 – $5
13	Molina fee schedule · outpatient · +17 other terms	34	$3	$19	$33	175%	—	$1 – $209
14	Bcbs Tx fee schedule · outpatient · +2 other terms	27	$6	$5	$2	30%	—	$2 – $9
15	Regence professional · fee schedule · outpatient · +10 other terms	21	$1	$1	$0	7%	—	$1 – $2
16	Oscar facility · fee schedule · outpatient · +10 other terms	20	$2	$2	$0	11%	—	$1 – $2
17	Healthpartners fee schedule · outpatient · +7 other terms	18	$1	$1	$0	2%	—	$1 – $2
18	Highmark facility · fee schedule · outpatient · +8 other terms	18	$2	$3	$2	62%	—	$1 – $9
19	Aetna Better Health fee schedule · outpatient · +10 other terms	17	$1	$1	$0	5%	—	$1 – $1
20	Medcost percent of total billed charges · inpatientfrom % of charges · +4 other terms	17	$43	$46	$18	40%	—	$19 – $129
21	First Health fee schedule · inpatient · +12 other terms	16	$51	$231	$564	244%	—	$37 – $2.1k
22	Phcs fee schedule · inpatient · +10 other terms	16	$147	$107	$60	56%	—	$55 – $203
23	Ambetter other · outpatient · +10 other terms	14	$41	$4.3k	$6.7k	157%	—	$31 – $14.9k
24	WellCare facility · fee schedule · outpatient · +11 other terms	13	$2	$1	$0	16%	—	$1 – $2
25	Medicaid fee schedule · outpatient · +6 other terms	12	$1	$44	$67	151%	—	$1 – $209

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