Injection of dalteparin sodium, per 2,500 IU

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

DALTEPARIN (PORCINE) 7,500 ANTI-XA UNIT/0.3 ML SUBCUTANEOUS SYRINGE

Payers reporting HCPCS J1645

Payer pricing summary

Low

$14

Average

$223

Median

$157

High

$1.2k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +23 other terms	371	$25	$30	$24	78%	—	$9 – $206
2	Cigna fee schedule · outpatient · +14 other terms	298	$30	$45	$35	79%	—	$1 – $248
3	Blue Cross Blue Shield fee schedule · outpatient · +20 other terms	215	$39	$61	$87	142%	—	$1 – $2.0k
4	Aetna fee schedule · outpatient · +19 other terms	188	$31	$37	$20	54%	—	$1 – $305
5	Humana fee schedule · outpatient · +18 other terms	158	$17	$59	$58	97%	—	$10 – $230
6	Anthem facility · fee schedule · outpatient · +15 other terms	57	$23	$29	$14	49%	—	$13 – $97
7	Kaiser fee schedule · both · +13 other terms	43	$22	$22	$6	26%	—	$18 – $30
8	Caresource fee schedule · outpatient · +6 other terms	37	$22	$20	$5	24%	—	$12 – $31
9	Bcbs Tx fee schedule · outpatient · +3 other terms	30	$80	$73	$24	33%	—	$30 – $126
10	Molina fee schedule · outpatient · +14 other terms	27	$34	$51	$108	210%	—	$1 – $626
11	Highmark facility · fee schedule · outpatient · +8 other terms	21	$27	$66	$60	92%	—	$15 – $243
12	Regence professional · fee schedule · outpatient · +6 other terms	21	$13	$14	$1	9%	—	$13 – $18
13	Healthpartners fee schedule · outpatient · +4 other terms	18	$17	$17	$0	2%	—	$16 – $17
14	Aetna Better Health fee schedule · outpatient · +8 other terms	17	$17	$18	$2	13%	—	$16 – $22
15	Superior Healthplan percent of total billed charges · outpatientfrom % of charges	15	$39	$47	$34	73%	—	$4 – $150
16	Tricare facility · fee schedule · outpatient · +6 other terms	14	$116	$209	$277	132%	—	$15 – $1.0k
17	WellCare professional · fee schedule · outpatient · +8 other terms	14	$17	$16	$2	14%	—	$9 – $18
18	Wellmark fee schedule · both · +9 other terms	14	$16	$16	$0	2%	—	$16 – $18
19	Medica fee schedule · outpatient · +12 other terms	13	$37	$63	$55	87%	—	$21 – $238
20	Medical Mutual facility · fee schedule · outpatient · +4 other terms	13	$52	$60	$33	55%	—	$24 – $156
21	Bcbs Mn fee schedule · outpatient · +5 other terms	12	$16	$12	$8	64%	—	$1 – $20
22	Bcbs Nj fee schedule · outpatient · +3 other terms	11	$15	$15	$1	9%	—	$14 – $17
23	Optum facility · case rate · outpatient · +12 other terms	11	$45	$49	$11	23%	—	$40 – $73
24	Oscar facility · fee schedule · outpatient · +10 other terms	11	$22	$20	$3	16%	—	$15 – $22
25	Cigna Healthspring facility · fee schedule · inpatient · +2 other terms	9	$16	$16	—	—	—	$16 – $16

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