Lidocaine with epinephrine 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

LIDOCAINE-EPINEPHRINE 1 %-1:100000 INJ SOLN

Payers reporting HCPCS J2004

64 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +26 other terms	425	$0.07	$15.37	$0.01 – $254.38
2	Cigna fee schedule · outpatient · +22 other terms	236	$0.02	$14.83	$0.01 – $211.98
3	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	171	$0.04	$4.88	$0.01 – $102.00
4	Aetna fee schedule · outpatient · +25 other terms	137	$0.02	$25.34	$0.01 – $1,018
5	Anthem fee schedule · outpatient · +20 other terms	89	$0.02	$16.44	$0.01 – $160.00
6	MultiPlan fee schedule · inpatient · +16 other terms	65	$52.17	$52.27	$0.01 – $222.42
7	Medica fee schedule · outpatient · +15 other terms	60	$4.70	$10.03	$0.01 – $111.72
8	Medcost percent of total billed charges · bothfrom % of charges · +5 other terms	42	$51.91	$58.38	$0.03 – $162.93
9	Humana other · outpatient · +18 other terms	36	$2.87	$451.67	$1.07 – $7,024
10	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +2 other terms	31	$31.27	$69.69	$0.47 – $572.97
11	Kaiser fee schedule · outpatient · +13 other terms	30	$39.05	$41.14	$0.02 – $417.44
12	Wellmark fee schedule · outpatient · +10 other terms	28	$0.01	$0.01	$0.01 – $0.01
13	Medicaid facility · fee schedule · outpatient · +8 other terms	27	$5.20	$5.64	$0.01 – $154.56
14	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$16.88	$14.99	$0.21 – $56.70
15	First Health fee schedule · inpatient · +14 other terms	24	$46.62	$45.83	$0.83 – $130.90
16	Molina fee schedule · both · +18 other terms	24	$2.35	$0.32	$0.01 – $43.68
17	Beechstreet percent of total billed charges · outpatientfrom % of charges · +3 other terms	22	$27.03	$33.57	$1.60 – $219.21
18	Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges · +6 other terms	20	$12.56	$18.58	$0.20 – $228.46
19	Aetna Better Health other · outpatient · +10 other terms	19	$2.74	$4.30	$1.30 – $28.77
20	Bcbs La fee schedule · outpatient · +3 other terms	19	$0.01	$0.01	$0.01 – $0.01
21	Amerihealth Caritas other · outpatient · +8 other terms	18	$2.59	$4.08	$1.30 – $28.77
22	Caresource facility · case rate · outpatient · +10 other terms	15	$8.89	$9.77	$5.94 – $15.09
23	Phcs fee schedule · inpatient · +14 other terms	14	$84.08	$96.63	$9.56 – $254.19
24	Ambetter other · outpatient · +12 other terms	13	$2.34	$3.26	$1.53 – $9.23
25	Bcbs Nc percent of total billed charges · outpatientfrom % of charges · +2 other terms	13	$9.21	$9.04	$3.81 – $22.43

Page 1 of 3 · 64 payers