Aminolevulinic acid topical gel, 10 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

HC Aminolevulinic Acid Hcl (Ameluz) 10% Topical Gel

Payers reporting HCPCS J7345

Payer pricing summary

Low

Average

$44

Median

High

$578

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +23 other terms	547	$3	$6	$41	724%	—	$1 – $710
2	Aetna fee schedule · outpatient · +20 other terms	365	$2	$12	$76	637%	—	$1 – $713
3	Cigna fee schedule · outpatient · +15 other terms	336	$3	$6	$35	558%	—	$2 – $688
4	Humana fee schedule · outpatient · +16 other terms	319	$2	$6	$27	455%	—	$1 – $273
5	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	297	$3	$4	$3	78%	—	$1 – $35
6	Molina fee schedule · outpatient · +11 other terms	125	$2	$12	$80	644%	—	$1 – $884
7	WellCare fee schedule · outpatient · +7 other terms	115	$2	$2	$1	32%	—	$2 – $4
8	Anthem fee schedule · outpatient · +16 other terms	104	$3	$7	$30	451%	—	$2 – $260
9	Devoted fee schedule · outpatient · +5 other terms	66	$2	$2	$0	4%	—	$2 – $2
10	Ambetter facility · fee schedule · outpatient · +7 other terms	62	$3	$3	$1	23%	—	$2 – $4
11	Caresource fee schedule · outpatient · +6 other terms	56	$2	$2	$1	23%	—	$2 – $4
12	Kaiser fee schedule · outpatient · +7 other terms	56	$3	$3	$2	68%	—	$1 – $13
13	Optum fee schedule · outpatient · +10 other terms	34	$2	$18	$95	524%	—	$2 – $588
14	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$6	$5	$2	43%	—	$2 – $10
15	Oscar facility · fee schedule · outpatient · +9 other terms	25	$2	$3	$0	19%	—	$2 – $3
16	Clover fee schedule · outpatient · +4 other terms	24	$2	$2	$0	6%	—	$2 – $2
17	Highmark facility · fee schedule · outpatient · +6 other terms	23	$3	$32	$114	356%	—	$2 – $760
18	Tricare facility · fee schedule · outpatient · +4 other terms	22	$2	$286	$538	188%	—	$2 – $1.3k
19	Medical Mutual facility · fee schedule · outpatient · +5 other terms	21	$3	$4	$2	48%	—	$1 – $8
20	Regence facility · fee schedule · outpatient · +5 other terms	21	$2	$2	$1	32%	—	$2 – $4
21	Healthpartners fee schedule · outpatient · +3 other terms	19	$2	$2	$0	3%	—	$2 – $2
22	Medicare fee schedule · outpatient · +3 other terms	19	$2	$2	$0	3%	—	$2 – $2
23	Aetna Better Health fee schedule · outpatient · +5 other terms	16	$2	$2	$0	7%	—	$2 – $2
24	MultiPlan fee schedule · outpatient · +10 other terms	16	$3	$36	$177	496%	—	$2 – $988
25	Cigna Healthspring facility · fee schedule · outpatient · +4 other terms	14	$2	$2	$0	2%	—	$2 – $2

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