Hizentra immune globulin injection, 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-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 G 1 GRAM/5 ML(20 %)-PROL-IGA 0-50 MCG/ML SUBCUTANEOUS SOLN

Payers reporting HCPCS J1559

Payer pricing summary

Low

Average

$385

Median

$180

High

$2.7k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +23 other terms	578	$22	$82	$397	483%	—	$5 – $3.3k
2	Aetna fee schedule · outpatient · +21 other terms	378	$17	$138	$608	442%	—	$11 – $4.3k
3	Cigna fee schedule · outpatient · +17 other terms	344	$20	$155	$633	409%	—	$11 – $3.8k
4	Humana fee schedule · outpatient · +21 other terms	337	$14	$45	$136	303%	—	$9 – $1.5k
5	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	336	$21	$71	$322	455%	—	$0 – $3.5k
6	Molina fee schedule · outpatient · +17 other terms	128	$21	$67	$220	329%	—	$9 – $2.2k
7	WellCare fee schedule · outpatient · +11 other terms	124	$14	$15	$4	25%	—	$13 – $32
8	Anthem facility · fee schedule · outpatient · +18 other terms	117	$22	$35	$123	349%	—	$2 – $1.4k
9	Caresource fee schedule · outpatient · +12 other terms	69	$18	$20	$5	23%	—	$14 – $28
10	Devoted fee schedule · outpatient · +6 other terms	66	$14	$14	$1	5%	—	$13 – $15
11	Kaiser fee schedule · outpatient · +13 other terms	63	$18	$31	$57	184%	—	$12 – $529
12	Ambetter facility · fee schedule · outpatient · +10 other terms	54	$25	$27	$5	18%	—	$14 – $35
13	MultiPlan fee schedule · outpatient · +13 other terms	34	$22	$251	$365	145%	—	$14 – $1.1k
14	Optum fee schedule · outpatient · +11 other terms	33	$14	$121	$240	199%	—	$13 – $964
15	Bcbs Tx fee schedule · outpatient · +3 other terms	31	$42	$39	$17	43%	—	$13 – $74
16	Clover fee schedule · outpatient · +4 other terms	29	$15	$15	$1	5%	—	$14 – $16
17	Medica fee schedule · outpatient · +16 other terms	29	$25	$91	$212	233%	—	$9 – $1.1k
18	Oscar facility · fee schedule · outpatient · +11 other terms	29	$22	$42	$38	91%	—	$15 – $108
19	Medicare fee schedule · outpatient · +4 other terms	28	$14	$14	$0	1%	—	$12 – $15
20	Regence facility · fee schedule · outpatient · +6 other terms	24	$15	$15	$1	9%	—	$12 – $18
21	Aetna Better Health fee schedule · outpatient · +11 other terms	23	$14	$14	$1	5%	—	$13 – $16
22	Medical Mutual facility · fee schedule · outpatient · +5 other terms	21	$23	$30	$14	46%	—	$8 – $60
23	Highmark facility · fee schedule · outpatient · +9 other terms	20	$23	$34	$28	81%	—	$14 – $226
24	Healthpartners fee schedule · outpatient · +5 other terms	19	$16	$16	$0	3%	—	$15 – $17
25	Amerihealth Caritas facility · fee schedule · outpatient · +7 other terms	16	$14	$17	$5	30%	—	$14 – $28

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