CPT 90284
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
Human ig sc
Low
$0
Average
$44
Median
$51
High
$52
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare facility · case rate · outpatient | 16 | $49 | $52 | $12 | 23% | — | $33 – $82 |
| 2 | Anthem facility · case rate · outpatient | 15 | $47 | $52 | $12 | 23% | — | $32 – $80 |
| 3 | Caresource facility · case rate · outpatient | 15 | $48 | $52 | $12 | 23% | — | $32 – $82 |
| 4 | Molina facility · case rate · outpatient | 15 | $47 | $52 | $12 | 23% | — | $33 – $80 |
| 5 | Optum facility · case rate · outpatient | 11 | $45 | $49 | $11 | 22% | — | $40 – $73 |
| 6 | Blue Cross Blue Shield facility · case rate · outpatient · +1 other terms | 4 | $80 | $79 | $25 | 31% | — | $51 – $116 |
| 7 | Aetna facility · case rate · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 8 | Ambetter case rate · outpatient | 1 | $0 | $0 | $0 | 14% | — | $0 – $0 |
| 9 | Wellmark case rate · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
← Hospitals reporting CPT 90284 · Snapshot 20261113T090226Z-3ce6c0b8