Palifermin injection, 50 micrograms

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

PALIFERMIN 5.16 MG IV SOLR

Payers reporting HCPCS J2425

Payer pricing summary

Low

$19

Average

$1.3k

Median

$636

High

$9.2k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +19 other terms	571	$55	$192	$1.1k	551%	—	$1 – $13.8k
2	Aetna fee schedule · outpatient · +19 other terms	376	$41	$276	$1.2k	440%	—	$1 – $7.4k
3	Humana fee schedule · outpatient · +16 other terms	335	$36	$142	$702	494%	—	$1 – $8.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	331	$49	$236	$1.7k	710%	—	$0 – $24.8k
5	Cigna fee schedule · outpatient · +18 other terms	310	$51	$129	$483	374%	—	$20 – $5.7k
6	WellCare fee schedule · outpatient · +8 other terms	122	$36	$38	$10	26%	—	$30 – $80
7	Molina fee schedule · outpatient · +18 other terms	120	$53	$154	$482	312%	—	$1 – $4.8k
8	Anthem fee schedule · outpatient · +15 other terms	106	$48	$83	$192	232%	—	$24 – $1.7k
9	Caresource fee schedule · outpatient · +11 other terms	76	$41	$98	$505	514%	—	$1 – $4.3k
10	Devoted fee schedule · outpatient · +6 other terms	62	$36	$35	$2	4%	—	$32 – $38
11	Kaiser fee schedule · outpatient · +10 other terms	61	$47	$61	$35	56%	—	$29 – $198
12	Ambetter facility · fee schedule · outpatient · +10 other terms	54	$63	$66	$15	22%	—	$34 – $87
13	Medicare fee schedule · outpatient · +8 other terms	34	$35	$34	$2	5%	—	$24 – $46
14	Oscar facility · fee schedule · outpatient · +9 other terms	34	$46	$47	$9	20%	—	$37 – $66
15	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$83	$76	$31	40%	—	$32 – $144
16	Clover fee schedule · outpatient · +4 other terms	29	$38	$38	$4	10%	—	$34 – $46
17	Optum fee schedule · outpatient · +9 other terms	28	$35	$42	$16	37%	—	$32 – $105
18	MultiPlan fee schedule · outpatient · +10 other terms	25	$57	$3.3k	$5.6k	168%	—	$36 – $13.8k
19	Highmark facility · fee schedule · outpatient · +5 other terms	21	$39	$52	$26	50%	—	$24 – $161
20	Medica fee schedule · outpatient · +11 other terms	21	$52	$464	$2.2k	464%	—	$32 – $13.5k
21	Medical Mutual facility · fee schedule · outpatient · +5 other terms	21	$67	$76	$36	47%	—	$20 – $153
22	Regence facility · fee schedule · outpatient · +4 other terms	21	$38	$40	$8	20%	—	$30 – $63
23	Healthpartners fee schedule · outpatient · +3 other terms	19	$41	$40	$1	3%	—	$37 – $41
24	Aetna Better Health fee schedule · outpatient · +10 other terms	18	$36	$35	$3	8%	—	$32 – $38
25	Tricare fee schedule · outpatient · +6 other terms	18	$33	$4.4k	$7.5k	172%	—	$16 – $17.4k

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