APC 1630

Hepatitis B immune globulin 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 1630

Payer pricing summary

Low

$70

Average

$267

Median

$145

High

$2.6k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +5 other terms	175	$139	$140	$5	3%	—	$91 – $154
2	Humana fee schedule · outpatient · +5 other terms	161	$138	$144	$39	27%	—	$131 – $551
3	Aetna fee schedule · outpatient · +4 other terms	155	$139	$144	$20	14%	—	$136 – $256
4	WellCare fee schedule · outpatient · +2 other terms	131	$142	$144	$5	3%	—	$138 – $182
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$140	$140	$7	5%	—	$134 – $216
6	Devoted fee schedule · outpatient · +2 other terms	122	$138	$138	$1	1%	—	$137 – $145
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$143	$140	$4	3%	—	$137 – $150
8	Molina fee schedule · outpatient · +4 other terms	69	$203	$199	$76	38%	—	$141 – $361
9	Superior Healthplan fee schedule · outpatient	40	$145	$145	$1	1%	—	$144 – $147
10	Anthem fee schedule · outpatient · +3 other terms	31	$141	$141	$4	3%	—	$137 – $149
11	Oscar fee schedule · outpatient · +3 other terms	27	$137	$153	$37	24%	—	$135 – $256
12	Medicare facility · fee schedule · outpatient · +2 other terms	18	$138	$145	$64	44%	—	$137 – $685
13	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$165	$164	$4	2%	—	$156 – $165
14	Cigna fee schedule · outpatient · +2 other terms	17	$146	$172	$70	41%	—	$141 – $369
15	Optum facility · per diem · outpatient · +3 other terms	16	$138	$138	—	—	—	$138 – $138
16	Clover fee schedule · outpatient · +3 other terms	15	$147	$146	$1	1%	—	$144 – $147
17	Kaiser fee schedule · outpatient · +2 other terms	15	$141	$141	$3	2%	—	$138 – $149
18	Ambetter facility · fee schedule · outpatient · +3 other terms	13	$255	$1.3k	$4.5k	355%	—	$138 – $21.1k
19	Highmark case rate · outpatient · +2 other terms	5	$134	$181	$64	35%	—	$134 – $294
20	Medica facility · fee schedule · outpatient	5	$143	$145	$0	0%	—	$143 – $145
21	Tricare facility · fee schedule · outpatient	5	$134	$134	—	—	—	$134 – $134
22	Excellus case rate · outpatient	4	$183	$187	$69	37%	—	$134 – $301
23	Bcbs Nj facility · other · outpatient	3	$138	$138	—	—	—	$138 – $138
24	Caresource facility · fee schedule · outpatient	3	$138	$138	—	—	—	$138 – $138
25	Magellan facility · fee schedule · outpatient · +1 other terms	3	$145	$145	—	—	—	$145 – $145

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