Rho(D) immune globulin, intravenous, 100 IU

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

RHO(D) IMMUNE GLOBULIN-MALTOSE 1,500 UNIT (300 MCG)/1.3 ML INJECT.SOLN

Payers reporting HCPCS J2792

Payer pricing summary

Low

$18

Average

$1.2k

Median

$742

High

$10.1k

Payer rate distribution

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#
1	Molina fee schedule · outpatient · +22 other terms	134	$40	$263	$1.0k	392%	2–20	$1 – $10.5k
2	Anthem fee schedule · outpatient · +19 other terms	135	$42	$82	$440	534%	1–10	$24 – $5.8k
3	Kaiser fee schedule · outpatient · +17 other terms	74	$51	$553	$1.5k	263%	1–10	$25 – $10.6k
4	UnitedHealthcare fee schedule · outpatient · +23 other terms	604	$51	$91	$365	399%	—	$0 – $5.8k
5	Aetna fee schedule · outpatient · +24 other terms	415	$39	$120	$466	389%	—	$1 – $5.8k
6	Cigna fee schedule · outpatient · +21 other terms	368	$49	$104	$240	232%	—	$24 – $3.2k
7	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	362	$50	$114	$296	260%	—	$0 – $5.8k
8	Humana fee schedule · outpatient · +22 other terms	360	$32	$123	$563	459%	—	$0 – $6.1k
9	WellCare fee schedule · outpatient · +15 other terms	136	$32	$51	$140	274%	—	$24 – $1.8k
10	Caresource fee schedule · outpatient · +14 other terms	79	$38	$92	$341	369%	—	$1 – $4.0k
11	Devoted fee schedule · outpatient · +7 other terms	64	$26	$59	$215	367%	—	$24 – $1.9k
12	Ambetter facility · fee schedule · outpatient · +15 other terms	61	$61	$59	$13	22%	—	$25 – $84
13	Highmark facility · fee schedule · outpatient · +11 other terms	36	$43	$84	$74	88%	—	$25 – $340
14	Optum fee schedule · outpatient · +14 other terms	36	$25	$174	$319	183%	—	$23 – $1.1k
15	Medicare fee schedule · outpatient · +8 other terms	35	$33	$34	$15	45%	—	$25 – $149
16	Bcbs Tx fee schedule · outpatient · +3 other terms	31	$131	$121	$55	45%	—	$31 – $234
17	MultiPlan fee schedule · outpatient · +16 other terms	30	$59	$1.6k	$2.8k	174%	—	$31 – $13.9k
18	Oscar facility · fee schedule · outpatient · +11 other terms	28	$42	$40	$7	16%	—	$34 – $64
19	Clover fee schedule · outpatient · +7 other terms	26	$36	$44	$35	81%	—	$26 – $149
20	Aetna Better Health fee schedule · outpatient · +13 other terms	22	$32	$32	$5	14%	—	$25 – $39
21	Tricare fee schedule · outpatient · +11 other terms	22	$23	$2.0k	$3.6k	180%	—	$19 – $10.4k
22	Medica facility · fee schedule · outpatient · +14 other terms	21	$27	$56	$191	340%	—	$11 – $1.4k
23	Medical Mutual facility · fee schedule · outpatient · +7 other terms	21	$52	$67	$29	43%	—	$19 – $131
24	Regence facility · fee schedule · outpatient · +9 other terms	21	$35	$40	$14	36%	—	$22 – $80
25	Amerihealth Caritas facility · fee schedule · outpatient · +8 other terms	20	$28	$645	$2.3k	358%	—	$25 – $9.3k

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