Galsulfase 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

GALSULFASE 5 MG/5 ML INTRAVENOUS SOLUTION

Payers reporting HCPCS J1458

Payer pricing summary

Low

$269

Average

$2.5k

Median

$1.4k

High

$11.7k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +17 other terms	452	$847	$916	$1.4k	155%	—	$182 – $22.7k
2	Cigna fee schedule · outpatient · +13 other terms	327	$727	$1.2k	$934	79%	—	$26 – $4.3k
3	Aetna fee schedule · outpatient · +15 other terms	297	$596	$994	$1.8k	180%	—	$382 – $22.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	295	$737	$1.0k	$1.1k	110%	—	$0 – $16.6k
5	Humana fee schedule · outpatient · +18 other terms	248	$509	$1.3k	$2.8k	213%	—	$364 – $23.8k
6	Anthem fee schedule · outpatient · +15 other terms	91	$770	$1.4k	$3.0k	216%	—	$485 – $22.7k
7	Molina fee schedule · outpatient · +14 other terms	82	$787	$776	$276	36%	—	$394 – $1.2k
8	Caresource fee schedule · outpatient · +5 other terms	68	$577	$661	$414	63%	—	$485 – $2.9k
9	WellCare fee schedule · outpatient · +8 other terms	51	$519	$523	$42	8%	—	$474 – $683
10	Kaiser fee schedule · outpatient · +11 other terms	45	$770	$995	$627	63%	—	$411 – $3.6k
11	Ambetter fee schedule · outpatient · +8 other terms	41	$916	$947	$177	19%	—	$452 – $1.4k
12	Devoted fee schedule · outpatient · +5 other terms	35	$499	$498	$26	5%	—	$463 – $544
13	Optum fee schedule · outpatient · +12 other terms	32	$499	$832	$788	95%	—	$452 – $4.3k
14	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$1.6k	$1.5k	$489	33%	—	$599 – $2.5k
15	Oscar facility · fee schedule · outpatient · +9 other terms	22	$651	$713	$137	19%	—	$514 – $941
16	Regence professional · fee schedule · outpatient · +9 other terms	21	$433	$444	$39	9%	—	$433 – $617
17	Medcost percent of total billed charges · outpatientfrom % of charges · +2 other terms	20	$5.8k	$6.0k	$3.3k	56%	—	$1.5k – $14.4k
18	Medical Mutual facility · fee schedule · outpatient · +4 other terms	20	$947	$1.0k	$489	47%	—	$280 – $2.2k
19	Healthpartners fee schedule · outpatient · +5 other terms	19	$579	$577	$16	3%	—	$524 – $592
20	Highmark facility · fee schedule · outpatient · +8 other terms	19	$637	$865	$529	61%	—	$452 – $2.7k
21	Medicare fee schedule · outpatient · +3 other terms	18	$499	$500	$2	0%	—	$499 – $504
22	Aetna Better Health fee schedule · outpatient · +8 other terms	17	$534	$515	$28	6%	—	$481 – $544
23	MultiPlan fee schedule · outpatient · +9 other terms	14	$786	$786	—	—	—	$786 – $786
24	Wellmark fee schedule · both · +4 other terms	14	$485	$485	$3	1%	—	$485 – $506
25	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$460	$465	$122	26%	—	$238 – $572

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