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.
Original text from hospital filings
Inj glucagon (gvoke) 0.01 mg
Low
$1
Average
$53
Median
$4
High
$590
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
46 payers; the 90th percentile is 38.8× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +13 other terms | 275 | $4 | $6 | $15 | 246% | — | $2 – $163 |
| 2 | Aetna fee schedule · outpatient · +14 other terms | 102 | $3 | $9 | $28 | 317% | — | $1 – $163 |
| 3 | Humana fee schedule · outpatient · +11 other terms | 83 | $3 | $11 | $34 | 320% | — | $2 – $171 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +13 other terms | 63 | $5 | $6 | $3 | 44% | — | $1 – $14 |
| 5 | Anthem fee schedule · outpatient · +9 other terms | 61 | $3 | $12 | $34 | 276% | — | $2 – $163 |
| 6 | Cigna fee schedule · outpatient · +13 other terms | 53 | $3 | $4 | $1 | 37% | — | $2 – $8 |
| 7 | WellCare fee schedule · outpatient · +3 other terms | 48 | $3 | $3 | $1 | 17% | — | $2 – $4 |
| 8 | Molina facility · fee schedule · outpatient · +8 other terms | 45 | $3 | $3 | $1 | 29% | — | $1 – $6 |
| 9 | Kaiser fee schedule · outpatient · +4 other terms | 34 | $3 | $7 | $6 | 90% | — | $3 – $27 |
| 10 | Ambetter fee schedule · outpatient · +3 other terms | 31 | $6 | $6 | $1 | 19% | — | $4 – $8 |
| 11 | Devoted fee schedule · outpatient · +2 other terms | 30 | $3 | $3 | $0 | 3% | — | $3 – $4 |
| 12 | Caresource facility · case rate · outpatient · +4 other terms | 20 | $175 | $143 | $96 | 67% | — | $3 – $314 |
| 13 | Medicare fee schedule · outpatient · +2 other terms | 18 | $3 | $3 | $0 | 12% | — | $3 – $3 |
| 14 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 16 | $2 | $3 | $1 | 33% | — | $2 – $6 |
| 15 | Regence facility · fee schedule · outpatient · +3 other terms | 16 | $3 | $3 | $0 | 3% | — | $3 – $3 |
| 16 | Optum fee schedule · outpatient · +2 other terms | 15 | $3 | $4 | $1 | 34% | — | $3 – $7 |
| 17 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 12 | $4 | $4 | — | — | — | $4 – $4 |
| 18 | Sanford Health Plan fee schedule · outpatient · +2 other terms | 11 | $3 | $3 | $0 | 14% | — | $3 – $3 |
| 19 | Medica facility · fee schedule · outpatient · +1 other terms | 10 | $3 | $3 | $0 | 3% | — | $3 – $4 |
| 20 | Clover fee schedule · outpatient · +2 other terms | 9 | $4 | $3 | $0 | 14% | — | $3 – $4 |
| 21 | Ucare fee schedule · outpatient · +2 other terms | 9 | $3 | $4 | $1 | 25% | — | $3 – $8 |
| 22 | Aetna Better Health facility · case rate · outpatient · +2 other terms | 8 | $93 | $81 | $31 | 39% | — | $4 – $93 |
| 23 | Bcbs Mn fee schedule · outpatient · +2 other terms | 8 | $4 | $4 | — | — | — | $4 – $4 |
| 24 | Healthpartners facility · fee schedule · outpatient | 7 | $3 | $3 | — | — | — | $3 – $3 |
| 25 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 6 | $86 | $86 | — | — | — | $86 – $86 |
← Hospitals reporting HCPCS J1612 · Snapshot 20261113T090226Z-3ce6c0b8