Injection of daptomycin antibiotic, per milligram

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

#N/A

Payers reporting HCPCS J0872

Payer pricing summary

Low

Average

$66

Median

$12

High

$1.5k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +18 other terms	475	$0	$2	$21	1335%	—	$0 – $500
2	Cigna fee schedule · outpatient · +15 other terms	268	$0	$0	$0	93%	—	$0 – $2
3	Aetna fee schedule · outpatient · +17 other terms	234	$0	$8	$66	803%	—	$0 – $875
4	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	218	$0	$2	$14	829%	—	$0 – $231
5	Humana fee schedule · outpatient · +13 other terms	206	$0	$13	$92	712%	—	$0 – $972
6	Anthem fee schedule · outpatient · +10 other terms	83	$0	$0	$0	145%	—	$0 – $1
7	Molina fee schedule · outpatient · +11 other terms	71	$0	$2	$12	538%	—	$0 – $98
8	WellCare fee schedule · outpatient · +10 other terms	70	$0	$0	$0	40%	—	$0 – $0
9	Kaiser fee schedule · both · +8 other terms	41	$0	$0	$0	33%	—	$0 – $0
10	Caresource fee schedule · outpatient · +5 other terms	38	$0	$0	$0	17%	—	$0 – $0
11	Bcbs Tx fee schedule · outpatient	31	$1	$1	$1	52%	—	$0 – $3
12	Devoted fee schedule · outpatient · +4 other terms	31	$0	$0	—	—	—	$0 – $0
13	Ambetter facility · fee schedule · outpatient · +6 other terms	29	$0	$0	$0	22%	—	$0 – $0
14	Optum facility · fee schedule · outpatient · +6 other terms	27	$0	$0	$0	20%	—	$0 – $0
15	Oscar facility · fee schedule · outpatient · +5 other terms	25	$0	$0	—	—	—	$0 – $0
16	Clover fee schedule · outpatient · +5 other terms	19	$0	$0	—	—	—	$0 – $0
17	Tricare facility · fee schedule · outpatient · +4 other terms	19	$0	$138	$413	299%	—	$0 – $1.9k
18	Healthpartners fee schedule · outpatient · +3 other terms	18	$0	$0	—	—	—	$0 – $0
19	Highmark facility · fee schedule · outpatient · +5 other terms	17	$0	$0	$0	44%	—	$0 – $0
20	Wellmark fee schedule · outpatient · +5 other terms	17	$0	$0	—	—	—	$0 – $0
21	Medical Mutual fee schedule · outpatient · +1 other terms	16	$0	$0	$0	20%	—	$0 – $0
22	Cigna Healthspring fee schedule · outpatient · +3 other terms	13	$0	$0	—	—	—	$0 – $0
23	Medica fee schedule · outpatient · +7 other terms	13	$0	$59	$53	89%	—	$0 – $106
24	Bcbs Nj fee schedule · outpatient · +3 other terms	12	$0	$0	$0	80%	—	$0 – $0
25	Aetna Better Health fee schedule · outpatient · +4 other terms	11	$0	$0	$0	20%	—	$0 – $0

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