Plasminogen human-tvmh 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

PLASMINOGEN HUMAN-TVMH 68.8 MG/12.5 ML INJECTION RYPLAZIM (WET SOLR VIAL)

Payers reporting HCPCS J2998

Payer pricing summary

Low

$18

Average

$503

Median

$50

High

$12.5k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +13 other terms	538	$49	$54	$42	79%	—	$15 – $682
2	Aetna fee schedule · outpatient · +10 other terms	353	$38	$54	$60	111%	—	$19 – $682
3	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	282	$54	$69	$42	61%	—	$1 – $238
4	Cigna fee schedule · outpatient · +10 other terms	262	$50	$93	$77	83%	—	$31 – $316
5	Humana fee schedule · outpatient · +10 other terms	217	$33	$46	$82	178%	—	$30 – $716
6	WellCare fee schedule · outpatient · +3 other terms	115	$33	$37	$11	30%	—	$31 – $76
7	Molina fee schedule · outpatient · +7 other terms	101	$36	$72	$214	297%	—	$29 – $2.2k
8	Anthem fee schedule · outpatient · +8 other terms	93	$43	$68	$87	129%	—	$29 – $682
9	Devoted fee schedule · outpatient · +2 other terms	66	$33	$33	$2	5%	—	$30 – $36
10	Kaiser fee schedule · outpatient · +4 other terms	55	$48	$62	$42	67%	—	$31 – $238
11	Ambetter facility · fee schedule · outpatient · +3 other terms	51	$58	$64	$14	22%	—	$33 – $83
12	Caresource fee schedule · outpatient · +4 other terms	44	$42	$42	$6	14%	—	$33 – $64
13	Optum fee schedule · outpatient · +7 other terms	33	$32	$42	$18	45%	—	$29 – $99
14	Bcbs Tx fee schedule · outpatient	31	$114	$106	$47	44%	—	$31 – $203
15	Oscar facility · fee schedule · outpatient · +3 other terms	25	$54	$51	$8	16%	—	$37 – $61
16	Clover fee schedule · outpatient · +2 other terms	24	$36	$35	$2	7%	—	$31 – $38
17	Aetna Better Health fee schedule · outpatient · +4 other terms	22	$33	$34	$1	3%	—	$33 – $35
18	Regence facility · fee schedule · outpatient · +3 other terms	21	$36	$40	$12	31%	—	$28 – $77
19	Medical Mutual facility · fee schedule · outpatient · +1 other terms	18	$54	$66	$30	46%	—	$21 – $153
20	Medicare fee schedule · outpatient · +1 other terms	18	$32	$33	$1	3%	—	$32 – $34
21	Highmark fee schedule · outpatient · +4 other terms	16	$43	$56	$145	257%	—	$18 – $2.2k
22	MultiPlan fee schedule · outpatient · +6 other terms	15	$54	$53	$4	7%	—	$32 – $54
23	Bcbs Mn fee schedule · outpatient · +7 other terms	13	$34	$33	$1	2%	—	$32 – $34
24	Wellmark fee schedule · both · +4 other terms	13	$33	$33	—	—	—	$33 – $33
25	Bcbs Nj fee schedule · outpatient	12	$33	$45	$34	75%	—	$33 – $157

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