Etanercept injection, 25 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

ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE

Payers reporting HCPCS J1438

Payer pricing summary

Low

$390

Average

$2.0k

Median

$1.9k

High

$5.8k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +25 other terms	537	$1.5k	$1.6k	$816	53%	—	$0 – $7.2k
2	Blue Cross Blue Shield fee schedule · outpatient · +24 other terms	259	$1.2k	$1.6k	$1.1k	69%	—	$0 – $6.6k
3	Cigna fee schedule · outpatient · +21 other terms	255	$1.5k	$2.8k	$1.9k	67%	—	$1 – $8.9k
4	Aetna fee schedule · outpatient · +25 other terms	233	$1.2k	$1.7k	$877	51%	—	$0 – $9.9k
5	Humana fee schedule · outpatient · +23 other terms	184	$1.1k	$1.4k	$914	65%	—	$0 – $4.6k
6	Anthem fee schedule · outpatient · +18 other terms	104	$1.1k	$1.2k	$699	59%	—	$209 – $4.8k
7	Molina fee schedule · outpatient · +18 other terms	74	$800	$980	$326	33%	—	$0 – $2.2k
8	WellCare fee schedule · outpatient · +13 other terms	73	$1.1k	$1.1k	$254	24%	—	$743 – $1.9k
9	Kaiser fee schedule · both · +13 other terms	43	$1.3k	$1.3k	$352	27%	—	$265 – $1.8k
10	MultiPlan fee schedule · outpatient · +14 other terms	35	$2.6k	$2.3k	$1.6k	69%	—	$1 – $7.1k
11	Devoted fee schedule · outpatient · +7 other terms	32	$864	$944	$127	13%	—	$802 – $1.2k
12	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$2.1k	$2.0k	$812	41%	—	$743 – $3.7k
13	Ambetter facility · fee schedule · outpatient · +11 other terms	23	$1.9k	$1.9k	$463	25%	—	$791 – $2.6k
14	Optum facility · fee schedule · outpatient · +16 other terms	23	$791	$829	$96	12%	—	$791 – $1.1k
15	Tricare facility · fee schedule · outpatient · +8 other terms	22	$2.3k	$2.9k	$1.5k	53%	—	$10 – $7.7k
16	Caresource facility · case rate · outpatient · +11 other terms	20	$787	$831	$206	25%	—	$483 – $1.5k
17	Clover fee schedule · outpatient · +5 other terms	19	$887	$1.0k	$137	14%	—	$864 – $1.2k
18	Aetna Better Health fee schedule · outpatient · +9 other terms	18	$1.1k	$927	$89	10%	—	$871 – $1.1k
19	First Health fee schedule · outpatient · +11 other terms	16	$2.3k	$2.6k	$1.6k	60%	—	$699 – $6.4k
20	Highmark facility · fee schedule · outpatient · +7 other terms	14	$940	$978	$462	47%	—	$240 – $2.5k
21	Bcbs Mn fee schedule · outpatient · +8 other terms	13	$586	$610	$321	53%	—	$214 – $1.1k
22	Cigna Healthspring fee schedule · outpatient · +5 other terms	13	$1.1k	$1.1k	$7	1%	—	$1.1k – $1.1k
23	Regence fee schedule · outpatient · +7 other terms	13	$1.4k	$1.5k	$411	27%	—	$712 – $2.3k
24	Wellmark fee schedule · both · +10 other terms	13	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
25	Bcbs Nj fee schedule · outpatient · +4 other terms	12	$939	$1.2k	$782	65%	—	$864 – $3.8k

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