Iron dextran injection, 100 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

IRON DEXTRAN 50 MG/ML IJ SOLN

Payers reporting HCPCS J1750

Payer pricing summary

Low

Average

$79

Median

$65

High

$705

Payer rate distribution

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#
1	Anthem fee schedule · outpatient · +26 other terms	153	$27	$47	$111	237%	64–73	$15 – $993
2	Wellmark fee schedule · outpatient · +14 other terms	25	$17	$17	$0	1%	48–66	$17 – $18
3	Humana fee schedule · outpatient · +27 other terms	413	$18	$34	$50	149%	20	$0 – $607
4	Aetna fee schedule · outpatient · +29 other terms	488	$25	$49	$81	164%	13–130	$1 – $1.6k
5	UnitedHealthcare fee schedule · outpatient · +32 other terms	729	$28	$35	$46	131%	8–80	$0 – $529
6	Cigna fee schedule · outpatient · +26 other terms	451	$26	$55	$72	132%	7–70	$1 – $506
7	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	455	$27	$43	$73	172%	6–60	$0 – $993
8	Medica fee schedule · outpatient · +19 other terms	52	$32	$38	$24	64%	1–10	$7 – $164
9	Sanford Health Plan fee schedule · outpatient · +10 other terms	23	$20	$22	$17	77%	1–10	$16 – $102
10	Bcbs Wy other · both · +1 other terms	1	$1.7k	$1.7k	—	—	1–10	$1.7k – $1.7k
11	Molina fee schedule · outpatient · +26 other terms	161	$26	$34	$33	98%	—	$1 – $294
12	WellCare fee schedule · outpatient · +17 other terms	149	$18	$22	$13	61%	—	$16 – $109
13	Kaiser fee schedule · outpatient · +19 other terms	95	$28	$47	$47	99%	—	$3 – $339
14	MultiPlan fee schedule · outpatient · +20 other terms	90	$125	$161	$141	88%	—	$13 – $607
15	Caresource fee schedule · outpatient · +18 other terms	87	$21	$23	$9	38%	—	$1 – $92
16	Ambetter facility · fee schedule · outpatient · +18 other terms	86	$33	$35	$10	28%	—	$17 – $82
17	Devoted fee schedule · outpatient · +13 other terms	60	$18	$20	$11	58%	—	$13 – $121
18	Highmark facility · fee schedule · outpatient · +14 other terms	57	$27	$48	$37	78%	—	$16 – $184
19	Optum facility · fee schedule · outpatient · +21 other terms	53	$18	$19	$2	13%	—	$14 – $28
20	Medicare fee schedule · outpatient · +14 other terms	37	$18	$18	$2	14%	—	$1 – $36
21	Oscar facility · fee schedule · outpatient · +15 other terms	36	$23	$24	$5	20%	—	$18 – $34
22	Amerihealth Caritas facility · fee schedule · outpatient · +12 other terms	34	$19	$28	$40	141%	—	$18 – $231
23	Medicaid facility · fee schedule · outpatient · +13 other terms	28	$17	$34	$57	170%	—	$7 – $254
24	Aetna Better Health fee schedule · outpatient · +15 other terms	27	$18	$24	$23	96%	—	$15 – $123
25	Bcbs Tx fee schedule · outpatient · +4 other terms	27	$52	$48	$21	44%	—	$16 – $93

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