Injection of icatibant, per 1 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

ICATIBANT ACETATE 30 MG/3 ML SOSY per 1 mg

Payers reporting HCPCS J1744

Payer pricing summary

Low

$74

Average

$3.5k

Median

$2.6k

High

$18.9k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +23 other terms	557	$252	$389	$965	248%	—	$0 – $20.3k
2	Blue Cross Blue Shield fee schedule · outpatient · +21 other terms	323	$301	$548	$1.4k	248%	—	$0 – $17.1k
3	Cigna fee schedule · outpatient · +21 other terms	291	$166	$924	$3.2k	347%	—	$54 – $28.0k
4	Humana fee schedule · outpatient · +18 other terms	257	$133	$882	$1.9k	215%	—	$0 – $10.3k
5	Aetna fee schedule · outpatient · +20 other terms	244	$150	$561	$1.3k	227%	—	$1 – $8.9k
6	Anthem fee schedule · outpatient · +18 other terms	96	$143	$728	$3.1k	419%	—	$45 – $41.0k
7	WellCare fee schedule · outpatient · +11 other terms	72	$131	$248	$725	292%	—	$116 – $6.3k
8	MultiPlan fee schedule · outpatient · +13 other terms	59	$4.2k	$10.2k	$13.0k	127%	—	$0 – $42.2k
9	Molina fee schedule · outpatient · +17 other terms	49	$133	$353	$1.4k	400%	—	$1 – $11.8k
10	Kaiser fee schedule · both · +13 other terms	41	$143	$144	$37	26%	—	$116 – $196
11	Caresource fee schedule · outpatient · +11 other terms	35	$125	$82	$163	200%	—	$1 – $1.5k
12	Medica fee schedule · outpatient · +12 other terms	33	$276	$534	$1.5k	290%	—	$0 – $25.2k
13	Devoted fee schedule · outpatient · +8 other terms	32	$141	$153	$80	52%	—	$130 – $596
14	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$690	$642	$300	47%	—	$127 – $1.2k
15	Highmark facility · fee schedule · outpatient · +8 other terms	31	$219	$479	$398	83%	—	$106 – $1.9k
16	Baylor Scott White Health Plan facility · fee schedule · inpatient · +2 other terms	26	$333	$335	$7	2%	—	$326 – $343
17	Optum facility · fee schedule · outpatient · +11 other terms	25	$152	$1.1k	$3.4k	310%	—	$104 – $13.7k
18	Ambetter facility · fee schedule · outpatient · +11 other terms	22	$313	$289	$58	20%	—	$130 – $344
19	Clover fee schedule · outpatient · +6 other terms	19	$148	$141	$9	6%	—	$133 – $159
20	Phcs fee schedule · inpatient · +8 other terms	19	$4.9k	$7.9k	$3.3k	42%	—	$3.5k – $11.1k
21	Sanford Health Plan fee schedule · outpatient · +9 other terms	19	$128	$442	$2.3k	531%	—	$0 – $22.9k
22	Aetna Better Health fee schedule · outpatient · +12 other terms	18	$101	$94	$28	30%	—	$49 – $130
23	Medicaid facility · fee schedule · outpatient · +9 other terms	17	$287	$2.1k	$3.8k	183%	—	$25 – $13.7k
24	First Health fee schedule · outpatient · +13 other terms	16	$16.8k	$21.3k	$11.3k	53%	—	$116 – $38.1k
25	Wellmark fee schedule · outpatient · +5 other terms	16	$125	$122	$8	7%	—	$102 – $125

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