Viltolarsen injection, per 10 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

VILTOLARSEN 50 MG/ML INTRAVENOUS SOLUTION

Payers reporting HCPCS J1427

Payer pricing summary

Low

$57

Average

$1.6k

Median

$170

High

$7.2k

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +15 other terms	379	$112	$234	$1.6k	676%	—	$30 – $22.7k
2	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	206	$107	$213	$685	322%	—	$46 – $9.1k
3	Cigna fee schedule · outpatient · +12 other terms	185	$108	$186	$181	98%	—	$52 – $1.8k
4	Aetna fee schedule · outpatient · +15 other terms	112	$102	$552	$2.8k	513%	—	$46 – $22.7k
5	Anthem fee schedule · outpatient · +10 other terms	66	$89	$691	$3.6k	521%	—	$56 – $22.7k
6	Molina facility · case rate · outpatient · +9 other terms	32	$12.6k	$11.2k	$6.1k	54%	—	$58 – $23.8k
7	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$243	$221	$74	33%	—	$90 – $383
8	Caresource fee schedule · outpatient · +3 other terms	23	$59	$60	$2	4%	—	$59 – $66
9	Aetna Better Health fee schedule · outpatient · +6 other terms	17	$62	$60	$4	7%	—	$56 – $66
10	Humana fee schedule · outpatient · +13 other terms	15	$57	$6.7k	$10.3k	155%	—	$54 – $23.8k
11	MultiPlan fee schedule · outpatient · +3 other terms	14	$99	$99	—	—	—	$99 – $99
12	Optum facility · case rate · outpatient · +5 other terms	13	$11.7k	$12.9k	$3.0k	23%	—	$10.1k – $19.8k
13	Wellmark fee schedule · both · +3 other terms	13	$56	$56	—	—	—	$56 – $56
14	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$57	$57	$15	26%	—	$29 – $70
15	Bcbs Nj fee schedule · outpatient · +1 other terms	12	$56	$56	—	—	—	$56 – $56
16	Highmark fee schedule · outpatient · +4 other terms	12	$63	$63	$1	2%	—	$58 – $74
17	Medica fee schedule · outpatient · +6 other terms	10	$118	$119	$30	25%	—	$71 – $152
18	Kaiser fee schedule · outpatient · +3 other terms	9	$272	$262	$88	34%	—	$121 – $463
19	Ucare fee schedule · both · +3 other terms	9	$63	$63	$6	10%	—	$54 – $69
20	WellCare facility · fee schedule · outpatient · +4 other terms	9	$82	$82	—	—	—	$82 – $82
21	Premera fee schedule · outpatient · +1 other terms	8	$94	$94	—	—	—	$94 – $94
22	Regence fee schedule · outpatient · +3 other terms	8	$59	$82	$32	40%	—	$53 – $147
23	Amerihealth Caritas facility · case rate · outpatient · +2 other terms	7	$11.6k	$11.8k	$370	3%	—	$11.6k – $12.7k
24	Bcbs La fee schedule · outpatient · +1 other terms	6	$61	$61	—	—	—	$61 – $61
25	Excellus facility · fee schedule · outpatient	5	$93	$104	$62	60%	—	$60 – $264

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