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.
Original text from hospital filings
Inj foscarb/foslevodopa 5 mg
Low
$1
Average
$100
Median
$2
High
$661
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
30 payers; the 90th percentile is 498.6× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +7 other terms | 208 | $1 | $7 | $63 | 845% | — | $1 – $653 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 100 | $1 | $2 | $1 | 53% | — | $1 – $4 |
| 3 | Cigna fee schedule · outpatient · +4 other terms | 90 | $1 | $3 | $2 | 67% | — | $1 – $6 |
| 4 | Aetna fee schedule · outpatient · +6 other terms | 34 | $2 | $53 | $176 | 329% | — | $1 – $653 |
| 5 | Molina facility · case rate · outpatient · +6 other terms | 25 | $618 | $547 | $230 | 42% | — | $288 – $1.1k |
| 6 | Anthem fee schedule · outpatient · +6 other terms | 18 | $1 | $35 | $143 | 413% | — | $1 – $653 |
| 7 | Caresource facility · case rate · outpatient · +2 other terms | 15 | $670 | $719 | $165 | 23% | — | $447 – $1.1k |
| 8 | Optum facility · case rate · outpatient · +1 other terms | 13 | $595 | $618 | $203 | 33% | — | $273 – $1.0k |
| 9 | WellCare professional · fee schedule · outpatient · +2 other terms | 10 | $1 | $1 | $0 | 1% | — | $1 – $1 |
| 10 | Ucare fee schedule · both · +1 other terms | 9 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Humana fee schedule · outpatient · +5 other terms | 7 | $682 | $390 | $337 | 86% | — | $1 – $686 |
| 12 | Aetna Better Health facility · case rate · outpatient | 6 | $345 | $345 | — | — | — | $345 – $345 |
| 13 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 6 | $317 | $317 | — | — | — | $317 – $317 |
| 14 | Excellus facility · fee schedule · outpatient · +1 other terms | 5 | $1 | $1 | $1 | 63% | — | $1 – $3 |
| 15 | First Health professional · fee schedule · both | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Highmark professional · fee schedule · both · +3 other terms | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | Oscar facility · fee schedule · outpatient · +1 other terms | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Ambetter professional · fee schedule · outpatient | 2 | $1 | $1 | $1 | 45% | — | $1 – $2 |
| 19 | Clover professional · fee schedule · outpatient | 2 | $1 | $1 | $0 | 3% | — | $1 – $1 |
| 20 | Medicaid facility · case rate · outpatient · +1 other terms | 2 | $288 | $288 | — | — | — | $288 – $288 |
| 21 | Medical Mutual facility · fee schedule · outpatient | 2 | $2 | $2 | $0 | 8% | — | $2 – $2 |
| 22 | Sanford Health Plan facility · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Bcbs Ca fee schedule · outpatient · +1 other terms | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 24 | Bcbs La facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | Bcbs Tn facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Hospitals reporting HCPCS J7356 · Snapshot 20261113T090226Z-3ce6c0b8