Hepatitis B immune globulin injection

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

HEPATITIS B IMMUN GLOB-MALTOSE GREATR THAN 312 UNIT/ML (5 ML) INJ SOLN [126007]

Payers reporting HCPCS J1571

Payer pricing summary

Low

$36

Average

$415

Median

$215

High

$1.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +24 other terms	560	$101	$107	$63	59%	—	$1 – $653
2	Aetna fee schedule · outpatient · +19 other terms	371	$78	$117	$145	124%	—	$1 – $2.8k
3	Cigna fee schedule · outpatient · +17 other terms	331	$99	$164	$140	85%	—	$1 – $613
4	Humana fee schedule · outpatient · +21 other terms	326	$67	$128	$157	123%	—	$1 – $686
5	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	313	$101	$170	$153	90%	—	$0 – $2.6k
6	Molina fee schedule · outpatient · +20 other terms	133	$100	$129	$157	122%	—	$1 – $1.4k
7	WellCare fee schedule · outpatient · +14 other terms	114	$68	$83	$58	69%	—	$62 – $532
8	Anthem facility · fee schedule · outpatient · +18 other terms	109	$74	$124	$187	150%	—	$9 – $2.0k
9	Devoted fee schedule · outpatient · +7 other terms	63	$67	$75	$66	88%	—	$61 – $628
10	Caresource fee schedule · outpatient · +12 other terms	59	$85	$83	$24	30%	—	$1 – $130
11	Kaiser fee schedule · outpatient · +14 other terms	57	$105	$128	$91	71%	—	$56 – $530
12	Ambetter facility · fee schedule · outpatient · +12 other terms	56	$124	$222	$979	441%	—	$66 – $10.1k
13	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$320	$298	$138	46%	—	$62 – $578
14	Optum facility · fee schedule · outpatient · +16 other terms	30	$69	$68	$3	5%	—	$53 – $79
15	Medicare fee schedule · outpatient · +10 other terms	28	$65	$63	$17	27%	—	$1 – $77
16	Oscar facility · fee schedule · outpatient · +14 other terms	28	$88	$95	$17	18%	—	$68 – $127
17	Clover fee schedule · outpatient · +4 other terms	24	$72	$70	$5	6%	—	$63 – $78
18	Highmark facility · fee schedule · outpatient · +12 other terms	23	$96	$144	$108	75%	—	$63 – $1.2k
19	Aetna Better Health fee schedule · outpatient · +11 other terms	22	$67	$67	$5	7%	—	$63 – $74
20	Medica facility · fee schedule · outpatient · +14 other terms	22	$71	$84	$128	152%	—	$22 – $893
21	Medical Mutual facility · fee schedule · outpatient · +8 other terms	21	$113	$151	$71	47%	—	$38 – $306
22	Regence facility · fee schedule · outpatient · +7 other terms	21	$72	$83	$31	37%	—	$57 – $188
23	Healthpartners fee schedule · outpatient · +7 other terms	20	$79	$79	$4	5%	—	$72 – $99
24	Amerihealth Caritas facility · fee schedule · outpatient · +8 other terms	18	$68	$89	$146	163%	—	$67 – $1.0k
25	Tricare facility · fee schedule · outpatient · +13 other terms	16	$67	$1.8k	$6.0k	339%	—	$14 – $25.1k

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