Injection of elosulfase alfa, 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

ELOSULFASE ALFA 5 MG/5 ML (1 MG/ML) INTRAVENOUS SOLUTION

Payers reporting HCPCS J1322

Payer pricing summary

Low

$163

Average

$1.3k

Median

$791

High

$6.6k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +21 other terms	558	$439	$938	$3.6k	380%	—	$111 – $28.7k
2	Aetna fee schedule · outpatient · +19 other terms	380	$342	$1.2k	$4.9k	394%	—	$170 – $37.1k
3	Cigna fee schedule · outpatient · +18 other terms	341	$439	$1.6k	$5.1k	313%	—	$68 – $31.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	333	$457	$861	$2.8k	322%	—	$1 – $30.5k
5	Humana fee schedule · outpatient · +17 other terms	326	$309	$571	$1.1k	188%	—	$220 – $10.9k
6	Molina fee schedule · outpatient · +16 other terms	125	$343	$712	$2.3k	324%	—	$240 – $26.0k
7	WellCare fee schedule · outpatient · +12 other terms	119	$309	$340	$101	30%	—	$276 – $689
8	Anthem fee schedule · outpatient · +19 other terms	111	$439	$1.6k	$5.3k	335%	—	$253 – $30.5k
9	Caresource fee schedule · outpatient · +9 other terms	70	$353	$372	$170	46%	—	$294 – $1.7k
10	Devoted fee schedule · outpatient · +7 other terms	66	$309	$306	$14	5%	—	$281 – $330
11	Kaiser fee schedule · outpatient · +13 other terms	58	$468	$547	$340	62%	—	$250 – $2.1k
12	Ambetter facility · fee schedule · outpatient · +13 other terms	57	$543	$566	$128	23%	—	$294 – $750
13	Optum facility · fee schedule · outpatient · +15 other terms	38	$309	$523	$566	108%	—	$247 – $2.3k
14	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$878	$814	$346	43%	—	$276 – $1.5k
15	Oscar facility · fee schedule · outpatient · +11 other terms	25	$396	$435	$81	19%	—	$312 – $571
16	Clover fee schedule · outpatient · +6 other terms	24	$321	$320	$18	6%	—	$292 – $346
17	Medicare fee schedule · outpatient · +7 other terms	23	$303	$295	$4	1%	—	$256 – $306
18	Aetna Better Health fee schedule · outpatient · +11 other terms	22	$309	$311	$14	4%	—	$292 – $330
19	Highmark facility · fee schedule · outpatient · +10 other terms	21	$455	$467	$200	43%	—	$274 – $883
20	Medical Mutual facility · fee schedule · outpatient · +4 other terms	21	$573	$646	$302	47%	—	$170 – $1.3k
21	Regence facility · fee schedule · outpatient · +10 other terms	21	$324	$344	$90	26%	—	$262 – $630
22	Healthpartners fee schedule · outpatient · +3 other terms	19	$351	$350	$9	3%	—	$318 – $359
23	Tricare facility · fee schedule · outpatient · +7 other terms	19	$312	$1.6k	$2.1k	135%	—	$294 – $5.4k
24	MultiPlan fee schedule · outpatient · +12 other terms	16	$477	$589	$640	109%	—	$307 – $4.0k
25	Wellmark fee schedule · both · +6 other terms	14	$294	$294	$2	1%	—	$294 – $307

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