Gamma globulin injection, intramuscular, 1 cc

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

IMMUNE GLOB,GAMMA(IGG) 15 %-18 % RANGE-GLYCINE INTRAMUSCULAR SOLUTION

Payers reporting HCPCS J1460

Payer pricing summary

Low

$26

Average

$244

Median

$146

High

$1.5k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +26 other terms	614	$73	$114	$236	207%	—	$0 – $3.8k
2	Aetna fee schedule · outpatient · +24 other terms	409	$61	$129	$301	233%	—	$1 – $4.0k
3	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	359	$63	$128	$223	174%	—	$0 – $2.1k
4	Cigna fee schedule · outpatient · +23 other terms	359	$74	$151	$274	181%	—	$36 – $3.4k
5	Humana fee schedule · outpatient · +22 other terms	358	$50	$95	$134	140%	—	$0 – $1.3k
6	WellCare fee schedule · outpatient · +12 other terms	134	$50	$70	$79	113%	—	$46 – $514
7	Molina fee schedule · outpatient · +20 other terms	131	$69	$87	$137	157%	—	$37 – $1.6k
8	Anthem fee schedule · outpatient · +19 other terms	120	$65	$71	$49	69%	—	$17 – $367
9	Kaiser fee schedule · outpatient · +17 other terms	77	$73	$179	$328	183%	—	$39 – $2.7k
10	Ambetter facility · fee schedule · outpatient · +15 other terms	75	$88	$113	$123	109%	—	$49 – $904
11	Caresource fee schedule · outpatient · +13 other terms	69	$58	$81	$91	112%	—	$49 – $514
12	Devoted fee schedule · outpatient · +10 other terms	67	$50	$50	$7	14%	—	$45 – $105
13	MultiPlan fee schedule · outpatient · +14 other terms	52	$223	$749	$1.1k	151%	—	$0 – $4.1k
14	Highmark facility · fee schedule · outpatient · +12 other terms	44	$54	$65	$42	65%	—	$3 – $174
15	Optum facility · fee schedule · outpatient · +18 other terms	38	$50	$50	$2	4%	—	$39 – $58
16	Medica fee schedule · outpatient · +16 other terms	36	$100	$293	$556	190%	—	$0 – $2.1k
17	Medicare fee schedule · outpatient · +9 other terms	35	$48	$57	$59	102%	—	$46 – $499
18	Oscar facility · fee schedule · outpatient · +14 other terms	35	$62	$64	$14	21%	—	$50 – $92
19	Bcbs Tx fee schedule · outpatient · +3 other terms	31	$117	$108	$43	40%	—	$46 – $202
20	Amerihealth Caritas facility · fee schedule · outpatient · +12 other terms	29	$49	$123	$195	158%	—	$49 – $1.1k
21	Clover fee schedule · outpatient · +5 other terms	28	$55	$114	$146	128%	—	$46 – $499
22	Baylor Scott White Health Plan facility · fee schedule · outpatient · +2 other terms	25	$62	$62	$12	20%	—	$47 – $81
23	Aetna Better Health fee schedule · outpatient · +15 other terms	22	$51	$52	$4	8%	—	$49 – $63
24	Superior Healthplan facility · fee schedule · outpatient · +4 other terms	22	$51	$48	$8	16%	—	$23 – $51
25	Medical Mutual facility · fee schedule · outpatient · +7 other terms	21	$90	$99	$46	47%	—	$27 – $207

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