Bupropion 150 mg extended-release tablets (60-count bottle)

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

BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE

Payers reporting HCPCS S0106

Payer pricing summary

Low

Average

$49

Median

$21

High

$239

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +8 other terms	182	$29	$48	$35	72%	—	$14 – $134
2	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	163	$45	$73	$97	134%	—	$12 – $610
3	Aetna fee schedule · outpatient · +10 other terms	100	$31	$38	$54	142%	—	$13 – $510
4	Humana fee schedule · outpatient · +9 other terms	71	$273	$437	$285	65%	—	$15 – $802
5	Anthem facility · fee schedule · outpatient · +9 other terms	43	$29	$43	$40	92%	—	$15 – $229
6	Kaiser fee schedule · both · +3 other terms	43	$126	$121	$33	27%	—	$87 – $186
7	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$72	$66	$22	33%	—	$27 – $114
8	Ambetter facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	26	$3	$3	$1	22%	—	$2 – $4
9	MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +4 other terms	26	$6	$6	$1	9%	—	$5 – $7
10	UnitedHealthcare fee schedule · both · +12 other terms	26	$15	$18	$3	18%	—	$15 – $28
11	Medicaid facility · percent of total billed charges · outpatientfrom % of charges	18	$2	$1	$0	11%	—	$1 – $2
12	Devoted facility · percent of total billed charges · outpatientfrom % of charges	17	$2	$3	$1	40%	—	$2 – $5
13	Caresource facility · case rate · outpatient · +2 other terms	15	$48	$52	$12	23%	—	$32 – $82
14	Molina facility · case rate · outpatient · +6 other terms	15	$47	$52	$12	23%	—	$33 – $80
15	Tricare facility · percent of total billed charges · outpatientfrom % of charges	13	$2	$2	$1	35%	—	$2 – $5
16	WellCare facility · percent of total billed charges · outpatientfrom % of charges	13	$2	$2	$1	23%	—	$2 – $4
17	Wellmark fee schedule · both · +2 other terms	13	$14	$14	—	—	—	$14 – $14
18	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$130	$120	$38	32%	—	$68 – $163
19	Bcbs Nj fee schedule · outpatient · +1 other terms	12	$80	$78	$34	44%	—	$15 – $96
20	Highmark fee schedule · outpatient · +4 other terms	11	$17	$18	$8	44%	—	$15 – $98
21	Optum facility · case rate · outpatient · +2 other terms	11	$45	$49	$11	22%	—	$40 – $73
22	Medica fee schedule · both · +7 other terms	10	$28	$27	$8	30%	—	$5 – $35
23	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$15	$15	—	—	—	$15 – $15
24	First Health facility · fee schedule · outpatient · +6 other terms	7	$48	$48	$0	1%	—	$47 – $48
25	Bcbs La fee schedule · outpatient · +1 other terms	6	$110	$110	$0	0%	—	$110 – $110

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