HCPCS Q4086

Orthovisc injection per dose

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

Orthovisc inj per dose

Payer pricing summary

Low

$222

Average

$386

Median

$386

High

$550

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#
1	Anthem facility · fee schedule · outpatient	1	$550	$550	—	—	—	$550 – $550
2	Cigna professional · fee schedule · outpatient	1	$222	$222	—	—	—	$222 – $222

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