Injection of belimumab, per 10 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

BELIMUMAB 400 MG INTRAVENOUS SOLUTION

Payers reporting HCPCS J0490

Payer pricing summary

Low

$30

Average

$1.4k

Median

$1.2k

High

$5.0k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +27 other terms	414	$83	$390	$1.5k	393%	169–205	$0 – $32.9k
2	Anthem fee schedule · outpatient · +25 other terms	142	$82	$252	$862	342%	27–63	$48 – $9.2k
3	Aetna fee schedule · outpatient · +29 other terms	455	$79	$659	$2.5k	380%	6–60	$1 – $43.3k
4	UnitedHealthcare fee schedule · outpatient · +32 other terms	674	$88	$297	$1.0k	351%	2–20	$0 – $15.9k
5	Cigna fee schedule · outpatient · +25 other terms	412	$83	$525	$1.5k	278%	2–20	$45 – $10.5k
6	Humana fee schedule · outpatient · +25 other terms	378	$57	$673	$2.3k	339%	2–20	$0 – $30.9k
7	Caresource fee schedule · outpatient · +17 other terms	82	$65	$158	$559	354%	2–20	$1 – $7.2k
8	First Health fee schedule · outpatient · +18 other terms	22	$4.1k	$4.1k	$3.8k	95%	2–20	$56 – $18.2k
9	Molina fee schedule · outpatient · +24 other terms	156	$82	$351	$709	202%	—	$1 – $4.0k
10	WellCare fee schedule · outpatient · +17 other terms	131	$57	$162	$495	306%	—	$52 – $3.6k
11	Kaiser fee schedule · outpatient · +20 other terms	87	$95	$525	$1.4k	267%	—	$6 – $13.7k
12	MultiPlan fee schedule · outpatient · +17 other terms	77	$4.8k	$4.8k	$5.5k	114%	—	$1 – $30.9k
13	Ambetter facility · fee schedule · outpatient · +18 other terms	72	$99	$237	$629	265%	—	$55 – $4.3k
14	Highmark facility · fee schedule · outpatient · +17 other terms	64	$89	$104	$73	71%	—	$44 – $418
15	Devoted fee schedule · outpatient · +13 other terms	63	$56	$87	$232	268%	—	$51 – $2.2k
16	Optum facility · fee schedule · outpatient · +22 other terms	51	$56	$459	$960	209%	—	$41 – $3.6k
17	Medica fee schedule · outpatient · +19 other terms	38	$324	$487	$1.5k	314%	—	$1 – $9.8k
18	Tricare facility · fee schedule · outpatient · +17 other terms	38	$57	$3.2k	$3.7k	117%	—	$54 – $17.3k
19	Amerihealth Caritas facility · fee schedule · outpatient · +16 other terms	36	$58	$270	$786	291%	—	$56 – $5.0k
20	Medicare fee schedule · outpatient · +12 other terms	35	$55	$59	$29	49%	—	$48 – $286
21	Oscar facility · fee schedule · outpatient · +17 other terms	35	$72	$72	$15	20%	—	$57 – $104
22	Regence facility · fee schedule · both · +18 other terms	34	$1.5k	$1.8k	$1.3k	75%	—	$115 – $7.3k
23	Carefirst facility · fee schedule · both · +9 other terms	32	$1.5k	$1.8k	$1.3k	70%	—	$672 – $7.3k
24	Excellus facility · fee schedule · both · +10 other terms	32	$1.5k	$1.8k	$1.3k	70%	—	$672 – $7.3k
25	Premera facility · fee schedule · both · +10 other terms	32	$1.5k	$1.8k	$1.3k	70%	—	$672 – $7.3k

Page 1 of 3 · 65 payers