Fondaparinux 2.5 mg injection

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

FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE

Payers reporting HCPCS J1652

Payer pricing summary

Low

Average

$116

Median

$97

High

$562

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +28 other terms	513	$1	$39	$154	391%	6–60	$1 – $3.5k
2	Cigna fee schedule · outpatient · +24 other terms	395	$1	$36	$95	265%	—	$0 – $1.0k
3	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	304	$5	$15	$67	448%	—	$0 – $1.3k
4	Aetna fee schedule · outpatient · +27 other terms	285	$2	$71	$294	413%	—	$1 – $6.1k
5	Humana fee schedule · outpatient · +22 other terms	183	$2	$148	$486	328%	—	$1 – $6.8k
6	Anthem fee schedule · outpatient · +19 other terms	110	$2	$12	$39	315%	—	$1 – $560
7	MultiPlan fee schedule · outpatient · +18 other terms	82	$214	$353	$688	195%	—	$1 – $6.8k
8	Caresource fee schedule · outpatient · +14 other terms	56	$1	$12	$35	298%	—	$1 – $241
9	Highmark facility · fee schedule · outpatient · +13 other terms	51	$1	$29	$33	114%	—	$1 – $130
10	Kaiser fee schedule · both · +14 other terms	43	$1	$1	$1	97%	—	$1 – $13
11	Molina fee schedule · outpatient · +21 other terms	42	$2	$28	$48	171%	—	$0 – $441
12	Medcost percent of total billed charges · bothfrom % of charges · +5 other terms	38	$257	$312	$197	63%	—	$2 – $785
13	First Health fee schedule · outpatient · +15 other terms	34	$206	$210	$176	84%	—	$5 – $1.2k
14	Medica fee schedule · outpatient · +15 other terms	34	$32	$50	$95	190%	—	$1 – $528
15	Bcbs Tx fee schedule · outpatient · +4 other terms	28	$10	$10	$3	27%	—	$4 – $16
16	Oscar facility · fee schedule · outpatient · +11 other terms	27	$1	$1	$0	11%	—	$1 – $1
17	Baylor Scott White Health Plan facility · fee schedule · inpatient · +2 other terms	26	$9	$9	$0	2%	—	$8 – $9
18	Excellus facility · fee schedule · both · +6 other terms	26	$22	$51	$95	188%	—	$4 – $529
19	Amerihealth Caritas facility · fee schedule · outpatient · +10 other terms	25	$1	$1	$0	25%	—	$1 – $2
20	Carefirst facility · fee schedule · both · +9 other terms	25	$22	$71	$110	155%	—	$4 – $529
21	Medicaid facility · fee schedule · outpatient · +9 other terms	25	$30	$64	$91	141%	—	$1 – $282
22	Premera facility · fee schedule · both · +6 other terms	25	$22	$71	$112	157%	—	$4 – $529
23	Regence facility · fee schedule · both · +12 other terms	25	$22	$64	$101	157%	—	$4 – $529
24	Wellmark facility · fee schedule · both · +12 other terms	25	$22	$65	$108	165%	—	$4 – $529
25	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +4 other terms	24	$243	$347	$271	78%	—	$1 – $1.1k

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