APC 1214
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.
Original text from hospital filings
Inj IVIG privigen 500 mg
Low
$27
Average
$150
Median
$55
High
$963
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
30 payers; the 90th percentile is 5.7× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Excellus case rate · outpatient | 4 | $69 | $71 | $26 | 37% | 1,347–1,356 | $51 – $114 |
| 2 | Highmark case rate · outpatient · +2 other terms | 5 | $51 | $69 | $24 | 35% | 73 | $51 – $111 |
| 3 | UnitedHealthcare fee schedule · outpatient · +6 other terms | 175 | $51 | $51 | $8 | 16% | — | $49 – $181 |
| 4 | Humana fee schedule · outpatient · +5 other terms | 161 | $50 | $52 | $14 | 27% | — | $49 – $201 |
| 5 | Aetna fee schedule · outpatient · +5 other terms | 155 | $51 | $52 | $6 | 12% | — | $49 – $86 |
| 6 | WellCare fee schedule · outpatient · +3 other terms | 131 | $52 | $52 | $2 | 4% | — | $49 – $66 |
| 7 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 126 | $51 | $51 | $2 | 4% | — | $49 – $73 |
| 8 | Devoted fee schedule · outpatient · +2 other terms | 122 | $50 | $50 | $0 | 1% | — | $50 – $53 |
| 9 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $52 | $51 | $1 | 3% | — | $50 – $55 |
| 10 | Molina fee schedule · outpatient · +4 other terms | 69 | $74 | $72 | $28 | 38% | — | $49 – $132 |
| 11 | Superior Healthplan fee schedule · outpatient | 40 | $53 | $53 | $0 | 1% | — | $52 – $54 |
| 12 | Anthem fee schedule · outpatient · +2 other terms | 31 | $50 | $51 | $1 | 2% | — | $49 – $52 |
| 13 | Oscar fee schedule · outpatient · +2 other terms | 27 | $49 | $55 | $11 | 21% | — | $49 – $86 |
| 14 | Medicare facility · fee schedule · outpatient · +2 other terms | 18 | $50 | $124 | $468 | 377% | — | $49 – $4.1k |
| 15 | Amerihealth Caritas fee schedule · outpatient · +2 other terms | 17 | $60 | $60 | $1 | 1% | — | $58 – $60 |
| 16 | Cigna fee schedule · outpatient · +3 other terms | 17 | $51 | $60 | $23 | 38% | — | $49 – $124 |
| 17 | Ambetter facility · fee schedule · outpatient · +3 other terms | 16 | $93 | $329 | $1.2k | 374% | — | $50 – $8.8k |
| 18 | Clover fee schedule · outpatient · +3 other terms | 15 | $52 | $52 | $1 | 1% | — | $52 – $54 |
| 19 | Kaiser fee schedule · outpatient · +2 other terms | 15 | $51 | $51 | $0 | 1% | — | $50 – $51 |
| 20 | Optum facility · fee schedule · outpatient · +3 other terms | 9 | $50 | $50 | — | — | — | $50 – $50 |
| 21 | Medica facility · fee schedule · outpatient | 5 | $52 | $53 | $0 | 0% | — | $52 – $53 |
| 22 | Tricare facility · fee schedule · outpatient | 5 | $51 | $51 | — | — | — | $51 – $51 |
| 23 | Bcbs Nj facility · other · outpatient | 3 | $50 | $50 | — | — | — | $50 – $50 |
| 24 | Magellan facility · fee schedule · outpatient · +1 other terms | 3 | $53 | $53 | — | — | — | $53 – $53 |
| 25 | Sanford Health Plan case rate · outpatient | 3 | $73 | $74 | $7 | 10% | — | $61 – $84 |
← Hospitals reporting APC 1214 · Snapshot 20261111T120946Z-9134e7f7