Indigotindisulfonate injection, 40 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INTRAVENOUS SOLUTION

Payers reporting HCPCS J9220

Payer pricing summary

Low

Average

$405

Median

$273

High

$2.0k

Payer rate distribution

Filter by billing methodology

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#
1	UnitedHealthcare fee schedule · outpatient · +24 other terms	382	$15	$99	$531	539%	—	$1 – $5.0k
2	Aetna fee schedule · outpatient · +24 other terms	211	$10	$75	$268	358%	—	$1 – $3.0k
3	Blue Cross Blue Shield fee schedule · outpatient · +21 other terms	187	$12	$57	$232	405%	—	$1 – $3.2k
4	Cigna fee schedule · outpatient · +20 other terms	173	$16	$92	$339	367%	—	$9 – $2.9k
5	Humana facility · fee schedule · outpatient · +18 other terms	156	$10	$36	$219	605%	—	$9 – $2.2k
6	Anthem fee schedule · outpatient · +20 other terms	79	$12	$255	$908	357%	—	$9 – $5.0k
7	WellCare facility · fee schedule · outpatient · +12 other terms	69	$10	$14	$41	288%	—	$9 – $398
8	Molina facility · fee schedule · outpatient · +17 other terms	60	$9	$10	$3	30%	—	$3 – $22
9	Kaiser fee schedule · outpatient · +12 other terms	53	$14	$250	$732	292%	—	$9 – $3.0k
10	Ambetter facility · fee schedule · outpatient · +13 other terms	47	$18	$18	$4	23%	—	$9 – $24
11	Devoted fee schedule · outpatient · +10 other terms	40	$10	$10	$0	5%	—	$9 – $11
12	Optum fee schedule · outpatient · +14 other terms	31	$10	$20	$20	100%	—	$9 – $91
13	Medicare fee schedule · outpatient · +8 other terms	29	$10	$14	$12	86%	—	$9 – $47
14	Baylor Scott White Health Plan facility · fee schedule · outpatient · +2 other terms	25	$12	$12	$2	20%	—	$9 – $15
15	Caresource fee schedule · outpatient · +10 other terms	25	$12	$15	$12	80%	—	$1 – $48
16	Highmark fee schedule · outpatient · +10 other terms	22	$14	$228	$535	235%	—	$5 – $2.5k
17	Superior Healthplan facility · fee schedule · outpatient · +4 other terms	22	$10	$9	$1	14%	—	$3 – $10
18	Medica facility · fee schedule · outpatient · +11 other terms	18	$10	$15	$34	224%	—	$10 – $258
19	Oscar facility · fee schedule · outpatient · +12 other terms	18	$14	$13	$2	16%	—	$10 – $16
20	Clover fee schedule · outpatient · +4 other terms	17	$11	$19	$16	83%	—	$9 – $47
21	Regence facility · fee schedule · outpatient · +8 other terms	17	$10	$10	$1	7%	—	$8 – $12
22	Beechstreet percent of total billed charges · outpatientfrom % of charges · +2 other terms	16	$1.4k	$1.8k	$781	43%	—	$1.4k – $3.4k
23	MultiPlan fee schedule · outpatient · +11 other terms	15	$196	$812	$1.3k	162%	—	$10 – $4.7k
24	Tricare facility · fee schedule · outpatient · +9 other terms	15	$12	$723	$925	128%	—	$9 – $2.2k
25	Medical Mutual facility · fee schedule · outpatient · +5 other terms	14	$9	$11	$2	21%	—	$9 – $15

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