APC 9130

Bivigam 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

Inj, Imm Glob Bivigam, 50

Payers reporting APC 9130

Payer pricing summary

Low

$58

Average

$88

Median

$81

High

$125

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +1 other terms	153	$80	$81	$1	1%	—	$79 – $84
2	Humana fee schedule · outpatient · +1 other terms	148	$80	$83	$23	28%	—	$78 – $319
3	Aetna fee schedule · outpatient · +1 other terms	135	$80	$81	$1	1%	—	$80 – $88
4	WellCare fee schedule · outpatient · +1 other terms	127	$82	$83	$3	4%	—	$80 – $105
5	Devoted fee schedule · outpatient	122	$80	$80	$1	1%	—	$79 – $84
6	Cigna Healthspring fee schedule · outpatient	110	$83	$81	$2	3%	—	$79 – $88
7	Blue Cross Blue Shield fee schedule · outpatient	106	$81	$81	$3	4%	—	$75 – $113
8	Molina fee schedule · outpatient	55	$117	$117	$45	38%	—	$81 – $209
9	Superior Healthplan fee schedule · outpatient	40	$84	$84	$0	0%	—	$83 – $85
10	Anthem fee schedule · outpatient	24	$80	$81	$1	1%	—	$80 – $82
11	Oscar fee schedule · outpatient	24	$78	$80	$3	3%	—	$78 – $84
12	Amerihealth Caritas fee schedule · outpatient	17	$96	$95	$1	1%	—	$93 – $96
13	Clover fee schedule · outpatient	15	$83	$84	$0	1%	—	$83 – $85
14	Kaiser fee schedule · outpatient	13	$81	$81	$0	1%	—	$80 – $81
15	Cigna fee schedule · outpatient · +1 other terms	10	$81	$84	$4	5%	—	$81 – $95
16	Optum fee schedule · outpatient	8	$80	$125	$58	47%	—	$80 – $203
17	Highmark case rate · outpatient	5	$77	$105	$37	35%	—	$77 – $170
18	Excellus case rate · outpatient	4	$106	$108	$40	37%	—	$77 – $174
19	Ambetter fee schedule · outpatient	1	$58	$58	$6	10%	—	$52 – $64
20	Magellan fee schedule · outpatient	1	$80	$80	—	—	—	$80 – $80
21	Medicare fee schedule · outpatient	1	$69	$69	—	—	—	$69 – $69