Injection of fosdenopterin

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

Inj, fosdenopterin, 0.1mg

Payers reporting HCPCS J1809

Payer pricing summary

Low

Average

$1.3k

Median

$24

High

$29.2k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +7 other terms	280	$28	$81	$579	714%	—	$16 – $6.5k
2	Aetna fee schedule · outpatient · +6 other terms	118	$18	$181	$1.0k	553%	—	$9 – $6.5k
3	Humana fee schedule · outpatient · +7 other terms	85	$17	$303	$1.4k	450%	—	$17 – $6.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	72	$26	$41	$21	51%	—	$9 – $105
5	Cigna fee schedule · outpatient · +7 other terms	62	$17	$21	$8	36%	—	$17 – $42
6	Anthem fee schedule · outpatient · +6 other terms	61	$17	$341	$1.4k	405%	—	$17 – $6.5k
7	WellCare fee schedule · outpatient · +4 other terms	48	$17	$18	$1	6%	—	$17 – $21
8	Molina facility · fee schedule · outpatient · +7 other terms	45	$18	$17	$3	20%	—	$9 – $36
9	Kaiser fee schedule · outpatient · +4 other terms	39	$17	$31	$26	85%	—	$17 – $133
10	Ambetter fee schedule · outpatient · +5 other terms	31	$32	$33	$5	15%	—	$28 – $47
11	Devoted fee schedule · outpatient · +2 other terms	30	$17	$17	$0	3%	—	$17 – $18
12	Caresource facility · case rate · outpatient · +5 other terms	20	$4.2k	$3.4k	$2.3k	68%	—	$17 – $7.5k
13	Medicare fee schedule · outpatient · +2 other terms	18	$17	$17	$0	1%	—	$17 – $17
14	Medical Mutual facility · fee schedule · outpatient · +1 other terms	16	$18	$26	$12	48%	—	$17 – $57
15	Regence facility · fee schedule · outpatient · +2 other terms	16	$18	$18	$1	5%	—	$14 – $18
16	Optum fee schedule · outpatient · +4 other terms	15	$17	$21	$11	52%	—	$17 – $49
17	Cigna Healthspring fee schedule · outpatient · +2 other terms	12	$18	$18	—	—	—	$18 – $18
18	Aetna Better Health fee schedule · outpatient · +2 other terms	11	$18	$17	$0	3%	—	$17 – $18
19	Sanford Health Plan fee schedule · outpatient · +2 other terms	11	$17	$18	$1	5%	—	$17 – $19
20	Medica facility · fee schedule · outpatient · +1 other terms	10	$17	$18	$2	14%	—	$17 – $29
21	Ucare facility · fee schedule · outpatient · +2 other terms	10	$17	$17	$1	4%	—	$17 – $20
22	Clover fee schedule · outpatient · +3 other terms	9	$17	$18	$1	5%	—	$17 – $19
23	Bcbs Mn fee schedule · outpatient · +2 other terms	8	$17	$17	—	—	—	$17 – $17
24	Healthpartners facility · fee schedule · outpatient	7	$17	$17	—	—	—	$17 – $17
25	Oscar fee schedule · outpatient · +1 other terms	7	$22	$28	$10	36%	—	$19 – $51

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