Injection of recombinant antithrombin, 50 units

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

Antithrombin recombinant

Payers reporting HCPCS J7196

Payer pricing summary

Low

$80

Average

$1.8k

Median

$204

High

$23.5k

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +11 other terms	190	$268	$435	$312	72%	—	$130 – $1.2k
2	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	166	$301	$374	$228	61%	—	$0 – $967
3	Aetna fee schedule · outpatient · +13 other terms	123	$284	$312	$205	66%	—	$114 – $1.5k
4	Humana fee schedule · outpatient · +10 other terms	74	$369	$575	$341	59%	—	$102 – $1.0k
5	UnitedHealthcare fee schedule · outpatient · +14 other terms	66	$152	$161	$59	37%	—	$52 – $276
6	Anthem facility · fee schedule · outpatient · +11 other terms	47	$152	$264	$139	53%	—	$72 – $737
7	Molina facility · case rate · outpatient · +6 other terms	39	$188	$232	$144	62%	—	$103 – $617
8	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$609	$553	$184	33%	—	$226 – $957
9	Caresource facility · case rate · outpatient · +3 other terms	16	$366	$363	$128	35%	—	$102 – $629
10	Aetna Better Health fee schedule · outpatient · +3 other terms	13	$139	$151	$13	9%	—	$139 – $166
11	Optum facility · case rate · outpatient · +3 other terms	13	$329	$334	$127	38%	—	$98 – $559
12	Wellmark fee schedule · both · +3 other terms	13	$141	$141	—	—	—	$141 – $141
13	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$0	$54	$69	129%	—	$0 – $146
14	Bcbs Nj fee schedule · outpatient	12	$140	$140	—	—	—	$140 – $140
15	Highmark fee schedule · outpatient · +3 other terms	12	$158	$168	$73	43%	—	$143 – $884
16	Medica fee schedule · outpatient · +4 other terms	10	$294	$296	$74	25%	—	$178 – $379
17	Premera fee schedule · outpatient · +1 other terms	9	$312	$287	$48	17%	—	$211 – $371
18	Ucare fee schedule · both · +3 other terms	9	$96	$96	$3	3%	—	$93 – $99
19	Amerihealth Caritas facility · case rate · outpatient · +2 other terms	7	$113	$115	$4	3%	—	$113 – $124
20	Bcbs La fee schedule · outpatient · +1 other terms	6	$152	$152	—	—	—	$152 – $152
21	Excellus facility · fee schedule · outpatient	5	$233	$261	$158	60%	—	$149 – $670
22	First Health facility · fee schedule · outpatient · +4 other terms	4	$422	$422	—	—	—	$422 – $422
23	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$166	$166	—	—	—	$166 – $166
24	Sanford Health Plan fee schedule · outpatient · +1 other terms	3	$143	$143	—	—	—	$143 – $143
25	Bcbs Id facility · fee schedule · outpatient · +1 other terms	2	$225	$257	$92	36%	—	$128 – $336

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