Hepatitis B immune globulin injection, intravenous

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 IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML (5 ML) INJECTION SOLN

Payers reporting HCPCS J1573

Payer pricing summary

Low

$36

Average

$647

Median

$260

High

$7.7k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +20 other terms	570	$102	$115	$149	130%	—	$0 – $3.4k
2	Aetna fee schedule · outpatient · +18 other terms	378	$79	$185	$348	188%	—	$0 – $2.8k
3	Humana fee schedule · outpatient · +19 other terms	338	$68	$193	$351	182%	—	$0 – $2.6k
4	Cigna fee schedule · outpatient · +15 other terms	321	$120	$251	$449	179%	—	$0 – $4.8k
5	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	313	$109	$183	$312	171%	—	$0 – $6.3k
6	Molina fee schedule · outpatient · +18 other terms	136	$94	$117	$146	125%	—	$0 – $1.1k
7	Anthem fee schedule · outpatient · +17 other terms	123	$98	$135	$204	151%	—	$0 – $2.5k
8	WellCare fee schedule · outpatient · +9 other terms	123	$68	$101	$156	155%	—	$0 – $989
9	Caresource fee schedule · outpatient · +8 other terms	67	$70	$84	$171	205%	—	$0 – $2.0k
10	Devoted fee schedule · outpatient · +6 other terms	65	$67	$67	$3	5%	—	$61 – $73
11	Kaiser fee schedule · outpatient · +13 other terms	60	$105	$304	$949	312%	—	$56 – $5.9k
12	Ambetter facility · fee schedule · outpatient · +7 other terms	51	$119	$128	$29	22%	—	$66 – $168
13	Optum fee schedule · outpatient · +12 other terms	40	$66	$355	$593	167%	—	$59 – $2.3k
14	Oscar facility · fee schedule · outpatient · +7 other terms	34	$88	$92	$18	20%	—	$68 – $127
15	MultiPlan fee schedule · outpatient · +13 other terms	32	$1.6k	$1.2k	$1.9k	159%	—	$0 – $8.4k
16	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$320	$298	$138	46%	—	$62 – $578
17	Clover fee schedule · outpatient · +6 other terms	23	$72	$71	$4	6%	—	$63 – $78
18	Medicare fee schedule · outpatient · +6 other terms	22	$65	$67	$2	4%	—	$62 – $77
19	Highmark facility · fee schedule · outpatient · +7 other terms	21	$73	$84	$22	27%	—	$65 – $156
20	Medical Mutual facility · fee schedule · outpatient · +5 other terms	21	$134	$148	$70	47%	—	$38 – $306
21	Regence facility · fee schedule · outpatient · +7 other terms	21	$72	$83	$31	37%	—	$57 – $188
22	Healthpartners fee schedule · outpatient · +2 other terms	19	$79	$79	$2	3%	—	$72 – $80
23	Aetna Better Health fee schedule · outpatient · +7 other terms	18	$72	$77	$9	12%	—	$67 – $88
24	Tricare facility · fee schedule · outpatient · +7 other terms	18	$70	$1.3k	$1.6k	122%	—	$66 – $3.9k
25	Wellmark fee schedule · both · +7 other terms	14	$65	$65	$1	2%	—	$65 – $72

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