Privigen immune globulin IV infusion, 10 grams

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION

Payers reporting HCPCS J1459

Payer pricing summary

Low

$26

Average

$2.2k

Median

$1.7k

High

$10.6k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	453	$88	$1.3k	$5.1k	378%	3,821–3,866	$0 – $42.0k
2	Florida Blue percent of total billed charges · bothfrom % of charges	1	$3.3k	$3.3k	$1.7k	51%	1,200	$980 – $6.0k
3	Wellmark fee schedule · outpatient · +15 other terms	23	$49	$49	$1	1%	54	$48 – $50
4	Medica fee schedule · outpatient · +21 other terms	51	$94	$516	$2.2k	426%	19	$0 – $27.0k
5	Cigna fee schedule · outpatient · +23 other terms	425	$74	$995	$4.1k	410%	16–160	$1 – $45.1k
6	Aetna fee schedule · outpatient · +29 other terms	475	$72	$1.8k	$7.6k	420%	12–120	$1 – $142.9k
7	UnitedHealthcare fee schedule · outpatient · +33 other terms	726	$80	$1.1k	$5.5k	506%	8–80	$0 – $74.0k
8	Humana fee schedule · outpatient · +24 other terms	400	$51	$1.2k	$3.5k	288%	—	$0 – $36.8k
9	Anthem fee schedule · outpatient · +24 other terms	160	$72	$124	$592	477%	—	$46 – $17.2k
10	Molina fee schedule · outpatient · +25 other terms	153	$71	$586	$2.8k	485%	—	$1 – $31.2k
11	WellCare fee schedule · outpatient · +16 other terms	148	$51	$350	$2.0k	567%	—	$46 – $20.7k
12	Caresource fee schedule · outpatient · +16 other terms	96	$59	$506	$2.4k	468%	—	$1 – $20.7k
13	Kaiser fee schedule · outpatient · +18 other terms	89	$77	$1.5k	$5.5k	377%	—	$40 – $54.1k
14	MultiPlan fee schedule · outpatient · +17 other terms	77	$5.1k	$11.6k	$17.6k	152%	—	$5 – $81.2k
15	Ambetter facility · fee schedule · outpatient · +17 other terms	74	$89	$379	$1.3k	332%	—	$49 – $8.8k
16	Devoted fee schedule · outpatient · +13 other terms	60	$52	$144	$857	596%	—	$47 – $10.8k
17	Optum fee schedule · outpatient · +19 other terms	53	$50	$2.1k	$4.4k	212%	—	$45 – $25.7k
18	Highmark facility · fee schedule · outpatient · +14 other terms	42	$77	$128	$125	98%	—	$45 – $840
19	Oscar facility · fee schedule · outpatient · +16 other terms	39	$65	$64	$18	28%	—	$50 – $108
20	Medicare fee schedule · outpatient · +13 other terms	36	$50	$363	$2.1k	575%	—	$45 – $20.1k
21	Amerihealth Caritas facility · fee schedule · outpatient · +14 other terms	34	$53	$256	$920	360%	—	$49 – $8.8k
22	Clover facility · fee schedule · outpatient · +7 other terms	30	$52	$53	$2	3%	—	$50 – $59
23	Bcbs Tx fee schedule · outpatient · +3 other terms	29	$179	$167	$75	45%	—	$46 – $325
24	Tricare facility · fee schedule · outpatient · +16 other terms	28	$2.5k	$6.4k	$8.6k	135%	—	$9 – $47.4k
25	Medicaid fee schedule · outpatient · +12 other terms	27	$67	$44	$40	91%	—	$1 – $382

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