Injection of cipaglucosidase alfa, 5 mg

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, cipaglucosidase, 5 mg

Payers reporting HCPCS J1203

Payer pricing summary

Low

$48

Average

$856

Median

$193

High

$5.7k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +17 other terms	541	$136	$865	$5.3k	616%	—	$44 – $41.4k
2	Aetna fee schedule · outpatient · +16 other terms	361	$98	$1.4k	$7.5k	541%	—	$50 – $51.3k
3	Cigna fee schedule · outpatient · +14 other terms	306	$129	$214	$170	79%	—	$72 – $768
4	Humana fee schedule · outpatient · +14 other terms	295	$89	$346	$2.4k	706%	—	$67 – $23.8k
5	Blue Cross Blue Shield fee schedule · outpatient · +15 other terms	290	$140	$1.1k	$9.1k	825%	—	$1 – $92.0k
6	Molina fee schedule · outpatient · +7 other terms	122	$123	$128	$47	37%	—	$72 – $218
7	WellCare fee schedule · outpatient · +7 other terms	119	$91	$101	$30	30%	—	$84 – $209
8	Anthem fee schedule · outpatient · +15 other terms	109	$130	$3.6k	$16.8k	467%	—	$85 – $92.0k
9	Caresource fee schedule · outpatient · +5 other terms	69	$105	$108	$23	22%	—	$90 – $178
10	Devoted fee schedule · outpatient · +4 other terms	65	$91	$91	$5	5%	—	$83 – $99
11	Kaiser fee schedule · outpatient · +9 other terms	56	$139	$168	$112	67%	—	$73 – $689
12	Ambetter facility · fee schedule · outpatient · +6 other terms	51	$161	$172	$40	23%	—	$89 – $228
13	Optum fee schedule · outpatient · +9 other terms	33	$89	$116	$50	43%	—	$81 – $262
14	Bcbs Tx fee schedule · outpatient	31	$327	$304	$135	44%	—	$84 – $583
15	Oscar facility · fee schedule · outpatient · +10 other terms	25	$117	$128	$24	19%	—	$91 – $169
16	Clover fee schedule · outpatient · +4 other terms	24	$98	$96	$6	6%	—	$86 – $105
17	Medicare fee schedule · outpatient · +4 other terms	22	$89	$98	$3	3%	—	$89 – $99
18	Medical Mutual facility · fee schedule · outpatient · +1 other terms	20	$131	$183	$90	49%	—	$50 – $383
19	Regence facility · fee schedule · outpatient · +2 other terms	20	$95	$103	$30	29%	—	$78 – $197
20	Healthpartners fee schedule · outpatient · +3 other terms	19	$107	$106	$3	3%	—	$94 – $109
21	Aetna Better Health fee schedule · outpatient · +6 other terms	18	$91	$90	$5	5%	—	$84 – $95
22	Highmark fee schedule · outpatient · +8 other terms	16	$118	$122	$40	33%	—	$49 – $240
23	MultiPlan fee schedule · outpatient · +8 other terms	15	$147	$145	$11	7%	—	$90 – $147
24	Wellmark fee schedule · both · +6 other terms	14	$90	$90	$0	0%	—	$90 – $90
25	Tricare facility · fee schedule · outpatient · +4 other terms	13	$91	$2.6k	$3.2k	122%	—	$87 – $6.8k

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