Intramuscular gamma globulin injection, over 10 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 J1560

Payer pricing summary

Low

$44

Average

$517

Median

$452

High

$1.7k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +17 other terms	554	$277	$452	$396	87%	—	$89 – $3.1k
2	Aetna fee schedule · outpatient · +16 other terms	377	$315	$562	$498	89%	—	$57 – $5.9k
3	Cigna fee schedule · outpatient · +13 other terms	347	$547	$685	$476	70%	—	$8 – $3.1k
4	Humana fee schedule · outpatient · +17 other terms	333	$448	$706	$931	132%	—	$101 – $3.7k
5	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	317	$538	$650	$542	83%	—	$0 – $3.2k
6	Molina fee schedule · outpatient · +12 other terms	129	$266	$390	$307	79%	—	$105 – $1.2k
7	WellCare fee schedule · outpatient · +9 other terms	116	$174	$344	$283	82%	—	$105 – $1.2k
8	Anthem fee schedule · outpatient · +14 other terms	106	$430	$399	$288	72%	—	$105 – $1.5k
9	Devoted fee schedule · outpatient · +6 other terms	66	$172	$254	$153	60%	—	$155 – $548
10	Caresource fee schedule · outpatient · +5 other terms	65	$489	$415	$206	50%	—	$160 – $840
11	Ambetter facility · fee schedule · outpatient · +7 other terms	58	$289	$527	$406	77%	—	$152 – $1.3k
12	Kaiser fee schedule · outpatient · +10 other terms	57	$240	$498	$701	141%	—	$128 – $3.8k
13	Optum fee schedule · outpatient · +7 other terms	39	$167	$637	$735	115%	—	$151 – $2.9k
14	Bcbs Tx fee schedule · outpatient · +3 other terms	31	$1.2k	$1.1k	$432	40%	—	$464 – $2.0k
15	Oscar facility · fee schedule · outpatient · +5 other terms	25	$216	$249	$126	51%	—	$105 – $922
16	Clover fee schedule · outpatient · +3 other terms	24	$365	$336	$193	58%	—	$105 – $582
17	Aetna Better Health fee schedule · outpatient · +8 other terms	22	$338	$311	$203	65%	—	$109 – $628
18	Medical Mutual facility · fee schedule · outpatient · +6 other terms	21	$312	$368	$183	50%	—	$87 – $713
19	MultiPlan fee schedule · outpatient · +10 other terms	21	$826	$1.1k	$660	62%	—	$167 – $2.6k
20	Regence facility · fee schedule · outpatient · +7 other terms	21	$111	$289	$336	116%	—	$105 – $1.2k
21	Healthpartners fee schedule · outpatient · +3 other terms	20	$590	$583	$74	13%	—	$163 – $741
22	Highmark facility · fee schedule · outpatient · +8 other terms	20	$269	$287	$163	57%	—	$105 – $708
23	Medicare fee schedule · outpatient · +6 other terms	19	$167	$163	$68	42%	—	$102 – $455
24	Tricare facility · fee schedule · outpatient · +9 other terms	15	$105	$197	$152	77%	—	$99 – $494
25	Wellmark fee schedule · both · +5 other terms	14	$489	$480	$52	11%	—	$167 – $489

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