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.
Original text from hospital filings
Chloroprocaine opht gel, 1mg
Low
$0
Average
$3
Median
$1
High
$77
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
56 payers; the 90th percentile is 8.6× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +9 other terms | 518 | $1 | $1 | $1 | 80% | — | $0 – $22 |
| 2 | Aetna fee schedule · outpatient · +7 other terms | 323 | $1 | $1 | $1 | 58% | — | $0 – $7 |
| 3 | Cigna fee schedule · outpatient · +8 other terms | 304 | $1 | $2 | $12 | 488% | — | $0 – $174 |
| 4 | Humana fee schedule · outpatient · +9 other terms | 277 | $1 | $1 | $0 | 41% | — | $0 – $2 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 265 | $1 | $27 | $40 | 146% | — | $0 – $155 |
| 6 | WellCare fee schedule · outpatient · +4 other terms | 100 | $1 | $1 | $0 | 36% | — | $1 – $1 |
| 7 | Molina fee schedule · outpatient · +6 other terms | 95 | $1 | $2 | $10 | 437% | — | $1 – $98 |
| 8 | Anthem fee schedule · outpatient · +8 other terms | 87 | $1 | $1 | $1 | 60% | — | $1 – $4 |
| 9 | Devoted fee schedule · outpatient · +2 other terms | 66 | $1 | $1 | $0 | 7% | — | $1 – $1 |
| 10 | Caresource fee schedule · outpatient · +5 other terms | 53 | $1 | $1 | $0 | 25% | — | $1 – $1 |
| 11 | Ambetter facility · fee schedule · outpatient · +6 other terms | 46 | $1 | $1 | $0 | 26% | — | $1 – $2 |
| 12 | Kaiser fee schedule · both · +4 other terms | 41 | $1 | $1 | $0 | 26% | — | $1 – $1 |
| 13 | Optum fee schedule · outpatient · +4 other terms | 33 | $1 | $1 | $0 | 43% | — | $1 – $2 |
| 14 | Bcbs Tx fee schedule · outpatient | 31 | $82 | $77 | $41 | 53% | — | $1 – $154 |
| 15 | Oscar facility · fee schedule · outpatient · +4 other terms | 25 | $1 | $1 | $0 | 20% | — | $1 – $1 |
| 16 | Clover fee schedule · outpatient · +3 other terms | 24 | $1 | $1 | $0 | 10% | — | $1 – $1 |
| 17 | Regence facility · fee schedule · outpatient · +3 other terms | 20 | $1 | $1 | $0 | 42% | — | $0 – $2 |
| 18 | Aetna Better Health fee schedule · outpatient · +4 other terms | 18 | $1 | $1 | $0 | 6% | — | $1 – $1 |
| 19 | Healthpartners fee schedule · outpatient · +1 other terms | 18 | $1 | $1 | $0 | 3% | — | $1 – $1 |
| 20 | Medicare fee schedule · outpatient · +2 other terms | 18 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Highmark facility · fee schedule · outpatient · +4 other terms | 17 | $1 | $1 | $0 | 41% | — | $1 – $2 |
| 22 | Medical Mutual fee schedule · outpatient · +1 other terms | 17 | $1 | $1 | $0 | 24% | — | $1 – $1 |
| 23 | Tricare facility · fee schedule · outpatient · +3 other terms | 16 | $1 | $1 | $0 | 5% | — | $1 – $1 |
| 24 | MultiPlan fee schedule · outpatient · +3 other terms | 15 | $1 | $1 | $0 | 8% | — | $1 – $1 |
| 25 | Wellmark fee schedule · both · +3 other terms | 14 | $1 | $1 | — | — | — | $1 – $1 |
← Hospitals reporting HCPCS J2403 · Snapshot 20261112T181611Z-3fa9fb76