Pegademase bovine injection, 25 IU

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

Pegademase bovine, 25 iu

Payers reporting HCPCS J2504

Payer pricing summary

Low

$103

Average

$1.3k

Median

$389

High

$16.2k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +8 other terms	214	$255	$297	$162	55%	—	$6 – $966
2	Cigna fee schedule · outpatient · +7 other terms	177	$695	$1.2k	$791	67%	—	$335 – $3.1k
3	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	160	$450	$860	$646	75%	—	$0 – $2.4k
4	Aetna fee schedule · outpatient · +12 other terms	131	$521	$554	$570	103%	—	$0 – $3.6k
5	Humana fee schedule · outpatient · +5 other terms	76	$1.3k	$1.9k	$1.3k	69%	—	$271 – $3.6k
6	Anthem facility · fee schedule · outpatient · +6 other terms	46	$249	$323	$405	126%	—	$0 – $2.7k
7	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$1.5k	$1.4k	$456	33%	—	$559 – $2.4k
8	Molina facility · case rate · outpatient · +5 other terms	27	$342	$273	$149	55%	—	$103 – $617
9	Caresource facility · case rate · outpatient · +1 other terms	16	$368	$394	$86	22%	—	$248 – $629
10	Optum facility · case rate · outpatient · +2 other terms	13	$329	$334	$127	38%	—	$98 – $559
11	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$431	$406	$121	30%	—	$224 – $539
12	Highmark fee schedule · outpatient · +2 other terms	12	$389	$393	$46	12%	—	$354 – $884
13	Bcbs Nj fee schedule · outpatient	10	$346	$346	—	—	—	$346 – $346
14	Medica fee schedule · outpatient · +4 other terms	10	$726	$731	$182	25%	—	$440 – $937
15	Medical Mutual facility · fee schedule · outpatient · +2 other terms	10	$1.0k	$1.0k	$262	25%	—	$618 – $1.6k
16	Ucare fee schedule · both	9	$365	$366	$9	3%	—	$356 – $375
17	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$343	$343	—	—	—	$343 – $343
18	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$113	$115	$4	3%	—	$113 – $124
19	Regence fee schedule · outpatient	7	$200	$212	$64	30%	—	$174 – $473
20	Bcbs La fee schedule · outpatient · +1 other terms	6	$375	$375	—	—	—	$375 – $375
21	Tricare fee schedule · outpatient	6	$281	$281	—	—	—	$281 – $281
22	First Health facility · fee schedule · outpatient · +2 other terms	4	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
23	Kaiser fee schedule · both · +2 other terms	4	$250	$230	$59	26%	—	$171 – $291
24	Bcbs Id facility · fee schedule · outpatient	3	$335	$311	$104	34%	—	$216 – $500
25	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$450	$450	—	—	—	$450 – $450

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