Injection of concizumab, per 0.5 mg

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

Inj. concizumab-mtci, 0.5 mg

Payers reporting HCPCS J7173

Payer pricing summary

Low

$45

Average

$195

Median

$122

High

$906

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +9 other terms	280	$141	$158	$148	94%	—	$84 – $1.7k
2	Aetna fee schedule · outpatient · +7 other terms	118	$86	$148	$248	167%	—	$47 – $1.7k
3	Humana fee schedule · outpatient · +7 other terms	85	$86	$159	$337	212%	—	$81 – $1.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	71	$130	$207	$106	51%	—	$47 – $534
5	Cigna fee schedule · outpatient · +8 other terms	62	$86	$106	$38	36%	—	$83 – $211
6	Anthem fee schedule · outpatient · +6 other terms	61	$86	$223	$357	160%	—	$85 – $1.7k
7	WellCare fee schedule · outpatient · +4 other terms	48	$86	$89	$6	7%	—	$85 – $108
8	Molina facility · fee schedule · outpatient · +6 other terms	45	$85	$85	$17	20%	—	$44 – $171
9	Kaiser fee schedule · outpatient · +5 other terms	39	$86	$156	$135	86%	—	$83 – $680
10	Ambetter fee schedule · outpatient · +4 other terms	31	$156	$165	$23	14%	—	$140 – $225
11	Devoted fee schedule · outpatient · +3 other terms	30	$86	$87	$2	3%	—	$85 – $91
12	Caresource facility · case rate · outpatient · +5 other terms	20	$2.5k	$2.1k	$1.3k	65%	—	$86 – $4.5k
13	Medicare fee schedule · outpatient · +2 other terms	18	$85	$84	$0	0%	—	$84 – $85
14	Medical Mutual facility · fee schedule · outpatient	16	$84	$124	$60	49%	—	$83 – $277
15	Regence facility · fee schedule · outpatient · +1 other terms	16	$89	$88	$4	5%	—	$73 – $91
16	Optum fee schedule · outpatient · +3 other terms	15	$85	$105	$53	50%	—	$85 – $245
17	Cigna Healthspring fee schedule · outpatient · +2 other terms	12	$91	$91	—	—	—	$91 – $91
18	Aetna Better Health fee schedule · outpatient · +2 other terms	11	$89	$88	$1	1%	—	$86 – $89
19	Sanford Health Plan fee schedule · outpatient · +2 other terms	11	$85	$91	$5	5%	—	$85 – $95
20	Medica facility · fee schedule · outpatient · +1 other terms	10	$86	$89	$10	12%	—	$86 – $138
21	Ucare facility · fee schedule · outpatient · +2 other terms	10	$86	$88	$4	4%	—	$85 – $99
22	Clover fee schedule · outpatient · +3 other terms	9	$88	$91	$5	5%	—	$86 – $96
23	Bcbs Mn fee schedule · outpatient · +2 other terms	8	$88	$88	—	—	—	$88 – $88
24	Healthpartners facility · fee schedule · outpatient	7	$86	$86	—	—	—	$86 – $86
25	Magellan percent of total billed charges · outpatientfrom % of charges	7	$229	$226	$81	36%	—	$124 – $353

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