Injection of fitusiran, 0.04 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

Injection fitusiran 0.04 mg

Payers reporting HCPCS J7174

Payer pricing summary

Low

$69

Average

$1.2k

Median

$139

High

$10.2k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +5 other terms	275	$219	$487	$2.9k	597%	—	$129 – $32.6k
2	Aetna fee schedule · outpatient · +4 other terms	105	$133	$1.1k	$5.5k	486%	—	$72 – $32.6k
3	Humana fee schedule · outpatient · +5 other terms	84	$133	$1.6k	$6.9k	433%	—	$129 – $34.2k
4	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	64	$237	$295	$137	47%	—	$72 – $722
5	Anthem fee schedule · outpatient · +6 other terms	61	$133	$1.8k	$6.9k	387%	—	$131 – $32.6k
6	Cigna facility · fee schedule · outpatient · +6 other terms	54	$138	$190	$106	56%	—	$133 – $748
7	WellCare fee schedule · outpatient · +3 other terms	48	$136	$138	$9	6%	—	$131 – $166
8	Molina facility · fee schedule · outpatient · +5 other terms	45	$133	$132	$26	20%	—	$69 – $272
9	Kaiser fee schedule · outpatient · +4 other terms	34	$133	$252	$230	91%	—	$131 – $1.0k
10	Ambetter fee schedule · outpatient · +3 other terms	31	$240	$257	$37	14%	—	$220 – $358
11	Devoted fee schedule · outpatient · +2 other terms	30	$133	$135	$4	3%	—	$131 – $140
12	Caresource facility · case rate · outpatient · +4 other terms	20	$15.8k	$12.9k	$8.7k	68%	—	$133 – $28.3k
13	Medicare fee schedule · outpatient · +1 other terms	18	$131	$130	$0	0%	—	$130 – $131
14	Medical Mutual facility · fee schedule · outpatient	16	$133	$194	$90	46%	—	$133 – $422
15	Regence facility · fee schedule · outpatient · +1 other terms	16	$138	$137	$6	5%	—	$113 – $141
16	Optum fee schedule · outpatient · +2 other terms	15	$131	$163	$82	51%	—	$131 – $381
17	Cigna Healthspring fee schedule · outpatient · +1 other terms	12	$140	$140	—	—	—	$140 – $140
18	Aetna Better Health fee schedule · outpatient · +2 other terms	11	$138	$136	$2	2%	—	$133 – $138
19	Sanford Health Plan fee schedule · outpatient · +2 other terms	11	$131	$131	$0	0%	—	$131 – $132
20	Medica facility · fee schedule · outpatient · +1 other terms	10	$133	$137	$17	12%	—	$133 – $219
21	Clover fee schedule · outpatient · +2 other terms	9	$136	$141	$7	5%	—	$133 – $149
22	Ucare fee schedule · outpatient · +2 other terms	9	$134	$143	$36	25%	—	$131 – $301
23	Bcbs Mn fee schedule · outpatient · +2 other terms	8	$136	$136	—	—	—	$136 – $136
24	Healthpartners facility · fee schedule · outpatient	7	$133	$133	—	—	—	$133 – $133
25	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	6	$16.7k	$16.7k	—	—	—	$16.7k – $16.7k

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