Cetirizine hydrochloride injection

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

Inj. cetirizine hcl 0.5mg

Payers reporting HCPCS J1201

Payer pricing summary

Low

Average

$67

Median

$24

High

$739

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +15 other terms	550	$25	$25	$15	57%	—	$8 – $283
2	Aetna fee schedule · outpatient · +15 other terms	364	$18	$26	$15	57%	—	$9 – $188
3	Cigna fee schedule · outpatient · +15 other terms	324	$23	$39	$44	111%	—	$13 – $818
4	Humana fee schedule · outpatient · +13 other terms	304	$16	$17	$6	35%	—	$12 – $57
5	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	294	$24	$34	$22	65%	—	$1 – $120
6	Molina fee schedule · outpatient · +11 other terms	127	$25	$25	$12	49%	—	$13 – $98
7	WellCare fee schedule · outpatient · +7 other terms	121	$17	$18	$5	30%	—	$15 – $37
8	Anthem fee schedule · outpatient · +11 other terms	104	$23	$28	$20	74%	—	$15 – $127
9	Devoted fee schedule · outpatient · +5 other terms	66	$17	$16	$1	5%	—	$15 – $18
10	Caresource fee schedule · outpatient · +7 other terms	61	$20	$21	$5	23%	—	$16 – $32
11	Kaiser fee schedule · outpatient · +7 other terms	61	$18	$30	$20	67%	—	$14 – $119
12	Ambetter facility · fee schedule · outpatient · +6 other terms	52	$29	$31	$7	22%	—	$16 – $40
13	Optum fee schedule · outpatient · +6 other terms	34	$16	$40	$110	278%	—	$15 – $699
14	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$57	$53	$23	44%	—	$15 – $102
15	Clover fee schedule · outpatient · +3 other terms	29	$17	$17	$1	5%	—	$16 – $19
16	Oscar facility · fee schedule · outpatient · +5 other terms	25	$21	$23	$4	18%	—	$17 – $31
17	Medicare fee schedule · outpatient · +4 other terms	24	$16	$16	$0	3%	—	$15 – $17
18	Aetna Better Health fee schedule · outpatient · +5 other terms	22	$17	$17	$1	6%	—	$15 – $18
19	Medical Mutual facility · fee schedule · outpatient · +3 other terms	21	$31	$35	$16	46%	—	$9 – $70
20	Regence facility · fee schedule · outpatient · +3 other terms	21	$18	$20	$6	31%	—	$14 – $38
21	Healthpartners fee schedule · outpatient · +1 other terms	19	$19	$19	$0	3%	—	$17 – $19
22	Highmark fee schedule · outpatient · +4 other terms	16	$22	$23	$9	39%	—	$9 – $98
23	MultiPlan fee schedule · outpatient · +8 other terms	16	$25	$63	$207	327%	—	$16 – $1.2k
24	Tricare fee schedule · outpatient · +3 other terms	16	$16	$16	$1	5%	—	$15 – $17
25	Wellmark fee schedule · both · +3 other terms	14	$16	$16	$0	1%	—	$16 – $16

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