Injection of immune globulin (Alyglo), 500 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

Inj, alyglo, 500 mg

Payers reporting HCPCS J1552

Payer pricing summary

Low

$65

Average

$211

Median

$164

High

$577

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +8 other terms	516	$187	$204	$128	63%	—	$73 – $1.7k
2	Aetna fee schedule · outpatient · +6 other terms	343	$150	$218	$181	83%	—	$68 – $1.8k
3	Humana fee schedule · outpatient · +6 other terms	287	$134	$153	$176	115%	—	$42 – $1.8k
4	Cigna fee schedule · outpatient · +8 other terms	268	$202	$324	$271	84%	—	$105 – $1.1k
5	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	262	$206	$321	$234	73%	—	$1 – $955
6	Molina fee schedule · outpatient · +6 other terms	117	$161	$241	$427	178%	—	$42 – $4.8k
7	WellCare fee schedule · outpatient · +4 other terms	115	$135	$155	$59	38%	—	$121 – $344
8	Anthem fee schedule · outpatient · +7 other terms	98	$152	$247	$242	98%	—	$123 – $1.7k
9	Caresource fee schedule · outpatient · +5 other terms	67	$164	$169	$37	22%	—	$123 – $254
10	Devoted fee schedule · outpatient · +3 other terms	65	$130	$135	$13	10%	—	$119 – $163
11	Kaiser fee schedule · outpatient · +4 other terms	55	$185	$252	$199	79%	—	$123 – $1.2k
12	Ambetter facility · fee schedule · outpatient · +4 other terms	49	$229	$260	$73	28%	—	$130 – $375
13	Optum fee schedule · outpatient · +3 other terms	33	$128	$168	$72	43%	—	$116 – $355
14	Bcbs Tx fee schedule · outpatient	31	$621	$577	$262	45%	—	$138 – $1.1k
15	Clover fee schedule · outpatient · +3 other terms	24	$153	$146	$18	12%	—	$123 – $173
16	Oscar facility · fee schedule · outpatient · +3 other terms	24	$167	$181	$34	19%	—	$124 – $241
17	Medical Mutual facility · fee schedule · outpatient · +1 other terms	20	$174	$257	$132	51%	—	$67 – $559
18	Healthpartners fee schedule · outpatient · +1 other terms	19	$175	$174	$9	5%	—	$126 – $179
19	Medicare fee schedule · outpatient · +2 other terms	18	$128	$126	$3	2%	—	$121 – $128
20	Regence facility · fee schedule · outpatient · +3 other terms	18	$129	$132	$13	9%	—	$111 – $170
21	Highmark fee schedule · outpatient · +5 other terms	16	$181	$210	$308	147%	—	$72 – $4.8k
22	Wellmark fee schedule · both · +3 other terms	14	$138	$138	$1	1%	—	$131 – $138
23	Bcbs Nj fee schedule · outpatient	12	$148	$202	$154	76%	—	$135 – $710
24	Cigna Healthspring fee schedule · outpatient · +1 other terms	12	$137	$137	—	—	—	$137 – $137
25	Medica facility · fee schedule · outpatient · +4 other terms	12	$130	$121	$32	26%	—	$50 – $203

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