Tofersen injection, per 1 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

TOFERSEN 100 MG/15 ML (6.7 MG/ML) INTRATHECAL SOLUTION

Payers reporting HCPCS J1304

Payer pricing summary

Low

$84

Average

$5.8k

Median

$2.4k

High

$65.6k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +23 other terms	544	$226	$303	$1.2k	393%	—	$1 – $22.7k
2	Aetna fee schedule · outpatient · +23 other terms	356	$177	$377	$1.5k	407%	—	$1 – $22.7k
3	Cigna fee schedule · outpatient · +17 other terms	324	$233	$486	$1.7k	346%	—	$125 – $37.6k
4	Humana fee schedule · outpatient · +19 other terms	296	$156	$412	$2.4k	582%	—	$1 – $23.8k
5	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	294	$243	$484	$2.2k	454%	—	$1 – $38.5k
6	Molina fee schedule · outpatient · +17 other terms	125	$174	$219	$85	39%	—	$1 – $379
7	WellCare fee schedule · outpatient · +11 other terms	114	$159	$177	$53	30%	—	$146 – $364
8	Anthem fee schedule · outpatient · +19 other terms	106	$219	$579	$2.6k	450%	—	$148 – $22.7k
9	Caresource fee schedule · outpatient · +7 other terms	65	$180	$179	$43	24%	—	$1 – $311
10	Devoted fee schedule · outpatient · +5 other terms	65	$159	$159	$8	5%	—	$145 – $172
11	Kaiser fee schedule · outpatient · +10 other terms	56	$240	$555	$2.1k	379%	—	$156 – $17.5k
12	Ambetter facility · fee schedule · outpatient · +9 other terms	51	$281	$300	$69	23%	—	$155 – $396
13	Optum fee schedule · outpatient · +14 other terms	34	$156	$1.1k	$5.2k	485%	—	$142 – $32.1k
14	Bcbs Tx fee schedule · outpatient	31	$638	$593	$268	45%	—	$146 – $1.1k
15	Oscar facility · fee schedule · outpatient · +11 other terms	25	$202	$223	$43	19%	—	$160 – $295
16	Clover fee schedule · outpatient · +6 other terms	24	$170	$167	$10	6%	—	$151 – $183
17	Aetna Better Health fee schedule · outpatient · +7 other terms	22	$159	$165	$11	7%	—	$155 – $187
18	Healthpartners fee schedule · outpatient · +5 other terms	20	$185	$642	$2.8k	433%	—	$163 – $17.5k
19	Medical Mutual facility · fee schedule · outpatient · +3 other terms	20	$227	$317	$155	49%	—	$87 – $663
20	Regence facility · fee schedule · outpatient · +3 other terms	20	$166	$180	$50	28%	—	$135 – $339
21	Medicare fee schedule · outpatient · +6 other terms	18	$156	$156	$0	0%	—	$156 – $157
22	Highmark fee schedule · outpatient · +5 other terms	16	$204	$211	$70	33%	—	$85 – $414
23	MultiPlan fee schedule · outpatient · +10 other terms	16	$254	$2.0k	$9.6k	472%	—	$155 – $54.0k
24	Tricare facility · fee schedule · outpatient · +3 other terms	16	$160	$16.7k	$24.5k	147%	—	$152 – $54.3k
25	Wellmark fee schedule · both · +4 other terms	14	$155	$155	—	—	—	$155 – $155

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