Intravenous immune globulin powder, 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

Gammagard S/D (IgA less than 1 mcg/mL)

Payers reporting HCPCS J1566

Payer pricing summary

Low

$41

Average

$1.2k

Median

$845

High

$12.7k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +29 other terms	646	$126	$282	$806	286%	—	$1 – $6.5k
2	Aetna fee schedule · outpatient · +26 other terms	425	$97	$276	$788	286%	—	$1 – $7.4k
3	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	395	$102	$389	$1.0k	265%	—	$1 – $10.2k
4	Cigna fee schedule · outpatient · +24 other terms	386	$122	$393	$938	238%	—	$1 – $6.7k
5	Humana fee schedule · outpatient · +22 other terms	368	$80	$262	$650	248%	—	$42 – $4.5k
6	Anthem fee schedule · outpatient · +23 other terms	142	$110	$200	$679	339%	—	$57 – $6.3k
7	Molina fee schedule · outpatient · +24 other terms	142	$115	$228	$601	264%	—	$1 – $6.6k
8	WellCare fee schedule · outpatient · +18 other terms	133	$81	$88	$23	26%	—	$73 – $191
9	Caresource fee schedule · outpatient · +16 other terms	87	$96	$112	$16	14%	—	$79 – $186
10	Ambetter facility · fee schedule · outpatient · +18 other terms	75	$145	$149	$38	25%	—	$79 – $208
11	Kaiser fee schedule · outpatient · +20 other terms	75	$121	$471	$1.2k	259%	—	$1 – $8.6k
12	Devoted fee schedule · outpatient · +12 other terms	61	$83	$81	$5	6%	—	$72 – $90
13	MultiPlan fee schedule · outpatient · +17 other terms	49	$1.3k	$2.7k	$2.6k	99%	—	$82 – $9.3k
14	Medicare fee schedule · outpatient · +12 other terms	37	$77	$80	$5	6%	—	$1 – $88
15	Optum facility · fee schedule · outpatient · +16 other terms	37	$82	$217	$474	219%	—	$63 – $2.5k
16	Medica fee schedule · outpatient · +17 other terms	35	$392	$717	$1.5k	208%	—	$74 – $6.3k
17	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$120	$111	$38	34%	—	$47 – $200
18	Highmark facility · fee schedule · outpatient · +15 other terms	29	$116	$243	$177	73%	—	$71 – $755
19	Amerihealth Caritas facility · fee schedule · outpatient · +12 other terms	27	$82	$178	$552	310%	—	$77 – $3.8k
20	Baylor Scott White Health Plan facility · fee schedule · outpatient · +2 other terms	27	$104	$105	$17	16%	—	$76 – $133
21	Clover fee schedule · outpatient · +6 other terms	27	$88	$83	$6	7%	—	$75 – $96
22	Oscar facility · fee schedule · outpatient · +14 other terms	27	$103	$111	$21	19%	—	$79 – $152
23	Aetna Better Health fee schedule · outpatient · +12 other terms	24	$81	$99	$115	116%	—	$79 – $835
24	Regence facility · fee schedule · outpatient · +15 other terms	24	$82	$78	$19	25%	—	$29 – $109
25	Tricare facility · fee schedule · outpatient · +13 other terms	24	$1.4k	$4.1k	$4.0k	98%	—	$75 – $13.7k

Page 1 of 3 · 61 payers