Ibalizumab injection, 10 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

TROGARZO 200MG/1.33ML (15MG/ML) VIAL SDV

Payers reporting HCPCS J1746

Payer pricing summary

Low

$41

Average

$761

Median

$193

High

$4.9k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +19 other terms	552	$113	$153	$433	282%	—	$1 – $6.5k
2	Aetna fee schedule · outpatient · +20 other terms	372	$82	$151	$404	267%	—	$0 – $6.5k
3	Cigna fee schedule · outpatient · +19 other terms	338	$113	$182	$144	79%	—	$1 – $679
4	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	315	$112	$142	$88	61%	—	$1 – $575
5	Humana fee schedule · outpatient · +18 other terms	308	$78	$137	$602	439%	—	$1 – $6.8k
6	Molina fee schedule · outpatient · +15 other terms	127	$113	$475	$1.7k	357%	—	$1 – $17.0k
7	WellCare fee schedule · outpatient · +10 other terms	115	$79	$89	$28	32%	—	$72 – $181
8	Anthem fee schedule · outpatient · +14 other terms	105	$106	$201	$652	324%	—	$67 – $6.5k
9	Caresource fee schedule · outpatient · +7 other terms	70	$89	$91	$22	24%	—	$1 – $155
10	Devoted fee schedule · outpatient · +5 other terms	66	$79	$79	$4	5%	—	$72 – $85
11	Kaiser fee schedule · outpatient · +9 other terms	57	$117	$140	$90	65%	—	$62 – $547
12	Ambetter facility · fee schedule · outpatient · +8 other terms	51	$140	$148	$35	23%	—	$77 – $197
13	Optum fee schedule · outpatient · +11 other terms	36	$78	$101	$43	43%	—	$70 – $223
14	Oscar facility · fee schedule · outpatient · +9 other terms	32	$102	$107	$22	20%	—	$78 – $147
15	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$216	$201	$84	42%	—	$72 – $380
16	Clover fee schedule · outpatient · +4 other terms	24	$84	$83	$5	6%	—	$75 – $91
17	Medicare fee schedule · outpatient · +9 other terms	23	$78	$77	$3	4%	—	$68 – $85
18	Aetna Better Health fee schedule · outpatient · +12 other terms	22	$79	$80	$4	5%	—	$77 – $88
19	Medical Mutual facility · fee schedule · outpatient · +3 other terms	21	$148	$165	$79	48%	—	$42 – $339
20	Regence facility · fee schedule · outpatient · +3 other terms	21	$81	$92	$30	33%	—	$67 – $174
21	Healthpartners fee schedule · outpatient · +1 other terms	19	$92	$92	$3	3%	—	$79 – $94
22	Highmark facility · fee schedule · outpatient · +7 other terms	19	$87	$94	$27	29%	—	$72 – $186
23	MultiPlan fee schedule · outpatient · +10 other terms	16	$126	$120	$24	20%	—	$1 – $126
24	Tricare facility · fee schedule · outpatient · +5 other terms	16	$78	$2.4k	$3.4k	143%	—	$74 – $7.4k
25	Medica fee schedule · both · +5 other terms	15	$126	$118	$36	31%	—	$77 – $162

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