APC 01630

Hepatitis B immune globulin, intramuscular injection

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

Hep b ig, im

Payers reporting APC 01630

Payer pricing summary

Low

$135

Average

$223

Median

$210

High

$403

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +1 other terms	86	$134	$184	$174	95%	—	$70 – $717
2	Caresource fee schedule · outpatient	20	$138	$239	$237	99%	—	$71 – $710
3	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	11	$138	$307	$282	92%	—	$69 – $689
4	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	11	$140	$192	$180	94%	—	$68 – $856
5	Medicare facility · fee schedule · outpatient · +1 other terms	10	$140	$177	$152	86%	—	$68 – $685
6	Aetna facility · fee schedule · outpatient · +2 other terms	7	$131	$136	$5	4%	—	$131 – $142
7	Clover fee schedule · outpatient	5	$379	$379	$310	82%	—	$69 – $689
8	Kaiser fee schedule · outpatient · +1 other terms	5	$390	$390	$319	82%	—	$71 – $710
9	WellCare fee schedule · outpatient · +1 other terms	5	$390	$390	$319	82%	—	$71 – $710
10	Ambetter facility · fee schedule · outpatient	3	$475	$399	$412	103%	—	$127 – $1.3k
11	Amerihealth Caritas facility · fee schedule · outpatient	3	$404	$375	$425	113%	—	$68 – $1.5k
12	Carefirst facility · fee schedule · outpatient	3	$138	$138	—	—	—	$138 – $138
13	Medica facility · fee schedule · outpatient	3	$143	$143	—	—	—	$143 – $143
14	Molina facility · fee schedule · outpatient	3	$147	$147	—	—	—	$147 – $147
15	Tricare facility · fee schedule · outpatient	3	$138	$138	—	—	—	$138 – $138
16	Bcbs Ca facility · fee schedule · outpatient	2	$436	$403	$186	46%	—	$140 – $534
17	Cigna facility · fee schedule · outpatient	2	$257	$257	$249	97%	—	$68 – $685
18	MultiPlan facility · other · outpatient	2	$139	$139	—	—	—	$139 – $139
19	Aetna Better Health facility · other · outpatient	1	$138	$138	—	—	—	$138 – $138
20	Anthem facility · fee schedule · outpatient	1	$138	$138	—	—	—	$138 – $138
21	Bcbs Mi facility · fee schedule · outpatient	1	$138	$138	—	—	—	$138 – $138
22	Devoted facility · fee schedule · outpatient	1	$147	$147	—	—	—	$147 – $147
23	Highmark facility · fee schedule · outpatient · +1 other terms	1	$133	$133	$9	7%	—	$124 – $146
24	Medical Mutual facility · other · outpatient	1	$135	$135	—	—	—	$135 – $135
25	Oscar facility · fee schedule · outpatient	1	$210	$210	—	—	—	$210 – $210