Verteporfin injection for eye treatment

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR VERTEPORFIN INJECTION

Payers reporting HCPCS J3396

Payer pricing summary

Low

Average

$884

Median

$241

High

$9.5k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +24 other terms	563	$17	$25	$87	351%	—	$1 – $1.3k
2	Aetna fee schedule · outpatient · +21 other terms	378	$13	$41	$328	803%	—	$1 – $6.4k
3	Cigna fee schedule · outpatient · +18 other terms	335	$17	$32	$73	226%	—	$9 – $1.1k
4	Humana fee schedule · outpatient · +21 other terms	335	$12	$32	$124	389%	—	$1 – $1.4k
5	Blue Cross Blue Shield fee schedule · outpatient · +20 other terms	328	$18	$32	$190	593%	—	$0 – $4.9k
6	Molina fee schedule · outpatient · +19 other terms	129	$17	$118	$390	332%	—	$1 – $3.3k
7	WellCare fee schedule · outpatient · +11 other terms	124	$12	$13	$4	30%	—	$11 – $27
8	Anthem fee schedule · outpatient · +19 other terms	110	$16	$32	$133	413%	—	$11 – $1.3k
9	Caresource fee schedule · outpatient · +7 other terms	67	$14	$14	$4	26%	—	$1 – $23
10	Devoted fee schedule · outpatient · +5 other terms	66	$12	$12	$1	5%	—	$11 – $13
11	Ambetter facility · fee schedule · outpatient · +9 other terms	64	$21	$22	$5	22%	—	$12 – $29
12	Kaiser fee schedule · outpatient · +13 other terms	57	$17	$21	$14	68%	—	$9 – $90
13	Optum fee schedule · outpatient · +15 other terms	32	$11	$14	$6	39%	—	$10 – $33
14	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$43	$40	$18	45%	—	$11 – $77
15	Medicare fee schedule · outpatient · +7 other terms	29	$11	$12	$0	1%	—	$11 – $13
16	Baylor Scott White Health Plan facility · fee schedule · outpatient · +2 other terms	27	$13	$13	$3	22%	—	$11 – $19
17	Oscar facility · fee schedule · outpatient · +13 other terms	25	$15	$16	$3	19%	—	$12 – $21
18	Clover fee schedule · outpatient · +4 other terms	24	$13	$12	$1	7%	—	$11 – $14
19	Aetna Better Health fee schedule · outpatient · +8 other terms	22	$12	$12	$1	6%	—	$12 – $14
20	Medical Mutual facility · fee schedule · outpatient · +5 other terms	21	$22	$24	$11	47%	—	$6 – $49
21	Regence facility · fee schedule · outpatient · +7 other terms	21	$12	$14	$5	36%	—	$10 – $28
22	Superior Healthplan facility · fee schedule · outpatient · +3 other terms	21	$12	$12	$0	2%	—	$12 – $12
23	Healthpartners fee schedule · outpatient · +7 other terms	19	$14	$14	$0	3%	—	$12 – $14
24	Highmark fee schedule · outpatient · +5 other terms	16	$15	$35	$220	625%	—	$6 – $3.3k
25	Medica professional · fee schedule · outpatient · +13 other terms	16	$1.7k	$1.6k	$390	24%	—	$12 – $1.9k

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