CPT 90284

Subcutaneous immune globulin, 100 mg

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

Human ig sc

Payer pricing summary

Low

$27

Average

$65

Median

$70

High

$120

Payer rate distribution

Filter by billing methodology

All methodologies Case rate 9 Fee schedule 33 Per diem 2 Percent of billed charges 3 Other 9

Filter by billing class

#
1	Aetna other · outpatient	17	$32	$32	—	—	—	$32 – $32
2	Cigna other · outpatient · +1 other terms	13	$25	$28	$8	27%	—	$25 – $50
3	Blue Cross Blue Shield other · outpatient · +1 other terms	6	$27	$36	$17	46%	—	$15 – $55
4	UnitedHealthcare other · outpatient · +1 other terms	4	$28	$28	—	—	—	$28 – $28
5	Anthem other · outpatient · +1 other terms	3	$47	$47	—	—	—	$47 – $47
6	Molina facility · other · outpatient	3	$80	$79	$15	20%	—	$59 – $97
7	Humana facility · other · outpatient	2	$70	$70	$10	15%	—	$60 – $80
8	Caresource facility · other · outpatient	1	$80	$80	—	—	—	$80 – $80
9	Regence facility · other · outpatient	1	$120	$120	—	—	—	$120 – $120

← Hospitals reporting CPT 90284 · Snapshot 20261113T090226Z-3ce6c0b8