Mometasone furoate sinus implant

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

Fee Schedule

Payers reporting HCPCS J7401

Payer pricing summary

Low

$10

Average

$681

Median

$351

High

$4.1k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Molina facility · case rate · outpatient · +4 other terms	27	$668	$599	$237	40%	—	$319 – $1.2k
2	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	25	$33	$33	$3	10%	—	$30 – $42
3	UnitedHealthcare facility · case rate · outpatient · +7 other terms	19	$724	$730	$231	32%	—	$319 – $1.2k
4	Anthem facility · case rate · outpatient · +4 other terms	15	$710	$777	$182	23%	—	$483 – $1.2k
5	Caresource facility · case rate · outpatient · +1 other terms	15	$724	$777	$178	23%	—	$483 – $1.2k
6	Optum facility · case rate · outpatient	13	$643	$669	$217	32%	—	$303 – $1.1k
7	Humana facility · case rate · outpatient · +2 other terms	8	$319	$331	$15	5%	—	$319 – $351
8	Aetna Better Health facility · case rate · outpatient	7	$383	$381	$5	1%	—	$367 – $383
9	Amerihealth Caritas facility · case rate · outpatient · +2 other terms	7	$351	$356	$11	3%	—	$351 – $383
10	Bcbs Mn fee schedule · outpatient · +1 other terms	7	$69	$69	$23	33%	—	$36 – $86
11	First Health professional · percent of total billed charges · bothfrom % of charges · +1 other terms	6	$26	$26	$4	14%	—	$22 – $33
12	Aetna facility · case rate · outpatient · +7 other terms	5	$383	$441	$134	30%	—	$319 – $715
13	Cigna facility · fee schedule · outpatient · +6 other terms	3	$103	$79	$41	52%	—	$40 – $148
14	MultiPlan professional · percent of total billed charges · bothfrom % of charges · +2 other terms	3	$22	$23	$2	8%	—	$22 – $27
15	Wellmark facility · case rate · outpatient	3	$1.2k	$1.1k	$335	32%	—	$494 – $1.3k
16	Ambetter professional · percent of total billed charges · bothfrom % of charges	2	$22	$22	—	—	—	$22 – $22
17	Medicaid facility · case rate · outpatient	2	$319	$319	—	—	—	$319 – $319
18	Phcs professional · percent of total billed charges · bothfrom % of charges	2	$22	$22	—	—	—	$22 – $22
19	Sanford Health Plan facility · fee schedule · outpatient	2	$10	$10	—	—	—	$10 – $10
20	Bcbs Ca fee schedule · outpatient · +1 other terms	1	$31	$31	—	—	—	$31 – $31
21	Bcbs Id professional · fee schedule · outpatient	1	$10	$10	—	—	—	$10 – $10
22	Devoted facility · other · outpatient	1	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
23	Florida Blue facility · percent of total billed charges · outpatientfrom % of charges	1	$45	$45	$6	14%	—	$35 – $53
24	Healthpartners facility · fee schedule · outpatient	1	$103	$103	—	—	—	$103 – $103
25	Highmark facility · other · outpatient · +1 other terms	1	$3.0k	$3.0k	$766	26%	—	$2.0k – $4.2k

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