Hemophilia clotting factor, other or unspecified type

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

HC RX FACTOR IP MED 636 OP 636

Payers reporting HCPCS J7199

Payer pricing summary

Low

Average

$481

Median

$87

High

$9.0k

Payer rate distribution

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#
1	Molina facility · case rate · outpatient · +5 other terms	29	$171	$148	$61	41%	—	$78 – $308
2	UnitedHealthcare facility · case rate · outpatient · +9 other terms	18	$183	$184	$61	33%	—	$78 – $314
3	Anthem facility · case rate · outpatient · +5 other terms	15	$182	$199	$47	23%	—	$124 – $308
4	Caresource facility · case rate · outpatient · +1 other terms	15	$185	$199	$46	23%	—	$124 – $314
5	Optum facility · case rate · outpatient · +2 other terms	13	$164	$171	$57	33%	—	$74 – $279
6	Humana fee schedule · outpatient · +3 other terms	11	$4	$40	$70	174%	—	$1 – $171
7	Bcbs Mn percent of total billed charges · outpatientfrom % of charges · +1 other terms	8	$4	$4	$1	32%	—	$3 – $7
8	First Health percent of total billed charges · inpatientfrom % of charges · +1 other terms	8	$10	$10	—	—	—	$10 – $10
9	Medica percent of total billed charges · outpatientfrom % of charges · +1 other terms	8	$8	$8	$3	35%	—	$3 – $10
10	MultiPlan percent of total billed charges · inpatientfrom % of charges · +1 other terms	8	$11	$11	—	—	—	$11 – $11
11	Sanford Health Plan percent of total billed charges · inpatientfrom % of charges · +1 other terms	8	$7	$7	—	—	—	$7 – $7
12	Ucare percent of total billed charges · outpatientfrom % of charges · +1 other terms	8	$5	$5	$2	29%	—	$3 – $6
13	Aetna Better Health facility · case rate · outpatient	7	$93	$93	$2	2%	—	$89 – $93
14	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$86	$87	$3	3%	—	$86 – $93
15	Cigna professional · fee schedule · outpatient · +4 other terms	6	$760	$760	—	—	—	$760 – $760
16	Aetna facility · case rate · outpatient · +4 other terms	5	$93	$107	$31	29%	—	$78 – $171
17	Blue Cross Blue Shield facility · case rate · outpatient · +6 other terms	4	$359	$350	$113	32%	—	$230 – $518
18	Wellmark facility · case rate · outpatient	3	$290	$254	$80	32%	—	$118 – $320
19	Medicaid facility · case rate · outpatient	2	$78	$78	—	—	—	$78 – $78
20	Ambetter fee schedule · outpatient	1	$400	$400	—	—	—	$400 – $400
21	Bcbs Ca facility · percent of total billed charges · outpatientfrom % of charges	1	$29	$29	—	—	—	$29 – $29
22	Highmark fee schedule · outpatient	1	$332	$332	$138	42%	—	$234 – $527
23	Superior Healthplan other · both · +1 other terms	1	$5	$5	$2	47%	—	$3 – $7
24	WellCare other · both · +1 other terms	1	$5	$5	$2	47%	—	$2 – $7