Injection of edaravone, 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

Injection, edaravone, 1 mg

Payers reporting HCPCS J1301

Payer pricing summary

Low

Average

$792

Median

$509

High

$4.7k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +22 other terms	587	$28	$135	$672	498%	—	$1 – $5.2k
2	Aetna fee schedule · outpatient · +21 other terms	382	$24	$116	$516	445%	—	$1 – $3.6k
3	Cigna fee schedule · outpatient · +19 other terms	353	$30	$70	$211	299%	—	$1 – $2.9k
4	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	347	$30	$167	$609	364%	—	$1 – $3.6k
5	Humana fee schedule · outpatient · +20 other terms	327	$20	$78	$295	378%	—	$2 – $1.8k
6	WellCare fee schedule · outpatient · +13 other terms	130	$21	$90	$336	372%	—	$6 – $1.8k
7	Molina fee schedule · outpatient · +17 other terms	128	$22	$51	$196	383%	—	$1 – $2.2k
8	Anthem fee schedule · outpatient · +20 other terms	119	$25	$36	$105	292%	—	$8 – $2.1k
9	Caresource fee schedule · outpatient · +11 other terms	81	$22	$83	$318	385%	—	$7 – $1.8k
10	Kaiser fee schedule · outpatient · +17 other terms	70	$23	$255	$696	273%	—	$12 – $4.1k
11	Devoted fee schedule · outpatient · +7 other terms	67	$21	$23	$20	85%	—	$19 – $201
12	Ambetter facility · fee schedule · outpatient · +11 other terms	55	$37	$48	$56	118%	—	$18 – $359
13	MultiPlan fee schedule · outpatient · +12 other terms	42	$37	$851	$1.3k	155%	—	$4 – $6.4k
14	Optum fee schedule · outpatient · +11 other terms	37	$21	$51	$165	322%	—	$0 – $1.1k
15	Oscar facility · fee schedule · outpatient · +12 other terms	33	$26	$27	$6	22%	—	$17 – $41
16	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$72	$67	$29	44%	—	$20 – $128
17	Medica fee schedule · outpatient · +16 other terms	31	$43	$415	$748	180%	—	$2 – $2.6k
18	Medicare fee schedule · outpatient · +10 other terms	30	$21	$52	$231	447%	—	$1 – $1.7k
19	Clover fee schedule · outpatient · +5 other terms	29	$24	$292	$626	215%	—	$17 – $1.7k
20	Highmark facility · fee schedule · outpatient · +8 other terms	28	$31	$33	$20	58%	—	$12 – $103
21	Regence facility · fee schedule · outpatient · +11 other terms	24	$19	$50	$85	169%	—	$17 – $289
22	Aetna Better Health fee schedule · outpatient · +10 other terms	22	$22	$22	$3	12%	—	$18 – $26
23	Medical Mutual fee schedule · outpatient · +6 other terms	21	$34	$35	$7	21%	—	$19 – $47
24	Healthpartners fee schedule · outpatient · +7 other terms	20	$26	$26	$2	8%	—	$15 – $33
25	Tricare facility · fee schedule · outpatient · +10 other terms	18	$1.7k	$1.6k	$1.4k	87%	—	$17 – $4.4k

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