Immune globulin injection (Cuvitru), per 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

CUVITRU 1 GM/5 ML IJ SOLN (WRAPPED)

Payers reporting HCPCS J1555

Payer pricing summary

Low

Average

$211

Median

$33

High

$2.2k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +14 other terms	545	$26	$41	$169	409%	—	$7 – $2.0k
2	Aetna fee schedule · outpatient · +14 other terms	359	$19	$36	$125	343%	—	$9 – $1.7k
3	Cigna fee schedule · outpatient · +12 other terms	327	$25	$43	$47	110%	—	$14 – $498
4	Humana fee schedule · outpatient · +13 other terms	319	$17	$46	$173	380%	—	$13 – $1.8k
5	Blue Cross Blue Shield fee schedule · outpatient · +15 other terms	305	$27	$35	$24	69%	—	$1 – $345
6	Molina fee schedule · outpatient · +10 other terms	127	$25	$157	$560	355%	—	$14 – $4.8k
7	WellCare fee schedule · outpatient · +6 other terms	115	$17	$19	$6	32%	—	$16 – $39
8	Anthem fee schedule · outpatient · +9 other terms	105	$24	$53	$194	367%	—	$15 – $1.7k
9	Devoted fee schedule · outpatient · +2 other terms	66	$17	$17	$1	5%	—	$15 – $18
10	Caresource fee schedule · outpatient · +5 other terms	64	$21	$23	$5	20%	—	$17 – $33
11	Kaiser fee schedule · outpatient · +7 other terms	57	$26	$38	$59	156%	—	$14 – $498
12	Ambetter facility · fee schedule · outpatient · +5 other terms	51	$30	$32	$7	23%	—	$17 – $42
13	Optum fee schedule · outpatient · +5 other terms	33	$17	$22	$10	45%	—	$15 – $50
14	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$58	$54	$24	44%	—	$16 – $104
15	Oscar facility · fee schedule · outpatient · +4 other terms	27	$22	$24	$4	18%	—	$17 – $31
16	Clover fee schedule · outpatient · +3 other terms	24	$18	$18	$1	6%	—	$16 – $20
17	Regence facility · fee schedule · outpatient · +5 other terms	24	$18	$23	$13	57%	—	$14 – $59
18	Aetna Better Health fee schedule · outpatient · +5 other terms	22	$17	$17	$1	7%	—	$16 – $20
19	Medical Mutual fee schedule · outpatient · +4 other terms	21	$32	$44	$77	175%	—	$15 – $498
20	Healthpartners fee schedule · outpatient · +4 other terms	20	$20	$32	$77	237%	—	$18 – $498
21	Medicare fee schedule · outpatient · +3 other terms	19	$17	$17	$0	2%	—	$15 – $17
22	Highmark fee schedule · outpatient · +6 other terms	16	$23	$52	$317	605%	—	$10 – $4.8k
23	MultiPlan fee schedule · outpatient · +6 other terms	15	$27	$26	$2	6%	—	$18 – $27
24	Wellmark fee schedule · both · +6 other terms	14	$17	$17	$0	1%	—	$17 – $18
25	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$16	$16	$4	24%	—	$8 – $20

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