Aminolevulinic acid topical solution, 20%, single-dose unit

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

PR AMINOLEVULINIC ACID HCL TOP

Payers reporting HCPCS J7308

Payer pricing summary

Low

$162

Average

$590

Median

$511

High

$1.6k

Payer rate distribution

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#
1	Ucare professional · fee schedule · outpatient · +11 other terms	15	$405	$407	$17	4%	21–30	$390 – $448
2	UnitedHealthcare fee schedule · outpatient · +26 other terms	563	$562	$587	$298	51%	—	$1 – $2.5k
3	Aetna fee schedule · outpatient · +26 other terms	374	$472	$654	$359	55%	—	$1 – $4.7k
4	Cigna fee schedule · outpatient · +20 other terms	344	$591	$929	$719	77%	—	$57 – $3.4k
5	Humana fee schedule · outpatient · +22 other terms	331	$394	$737	$938	127%	—	$1 – $3.9k
6	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	300	$567	$814	$567	70%	—	$0 – $2.8k
7	Molina fee schedule · outpatient · +21 other terms	136	$429	$519	$209	40%	—	$1 – $964
8	WellCare fee schedule · outpatient · +14 other terms	120	$396	$445	$144	32%	—	$366 – $926
9	Anthem fee schedule · outpatient · +22 other terms	107	$524	$669	$479	72%	—	$204 – $2.9k
10	Devoted fee schedule · outpatient · +7 other terms	66	$396	$394	$23	6%	—	$357 – $438
11	Caresource fee schedule · outpatient · +9 other terms	65	$448	$462	$109	24%	—	$1 – $765
12	Ambetter facility · fee schedule · outpatient · +14 other terms	63	$690	$717	$178	25%	—	$392 – $1.0k
13	Kaiser fee schedule · outpatient · +14 other terms	58	$585	$711	$491	69%	—	$312 – $3.1k
14	Optum fee schedule · outpatient · +18 other terms	39	$384	$473	$178	38%	—	$348 – $1.1k
15	Oscar facility · fee schedule · outpatient · +14 other terms	32	$503	$532	$108	20%	—	$390 – $734
16	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$1.5k	$1.4k	$608	44%	—	$371 – $2.6k
17	Highmark facility · fee schedule · outpatient · +10 other terms	31	$433	$586	$262	45%	—	$189 – $1.6k
18	Clover fee schedule · outpatient · +5 other terms	24	$432	$416	$30	7%	—	$371 – $465
19	Regence professional · fee schedule · outpatient · +11 other terms	22	$391	$394	$15	4%	—	$382 – $468
20	Medical Mutual facility · fee schedule · outpatient · +9 other terms	21	$735	$812	$388	48%	—	$212 – $1.7k
21	Healthpartners fee schedule · outpatient · +9 other terms	20	$472	$476	$31	7%	—	$398 – $593
22	Medicare fee schedule · outpatient · +11 other terms	19	$384	$384	$1	0%	—	$382 – $384
23	Tricare facility · fee schedule · outpatient · +9 other terms	19	$390	$416	$121	29%	—	$322 – $936
24	Medica fee schedule · outpatient · +15 other terms	18	$644	$634	$336	53%	—	$7 – $1.0k
25	Wellmark fee schedule · outpatient · +7 other terms	18	$394	$394	$0	0%	—	$394 – $394

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