Pemivibart IV infusion for COVID-19 prevention

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

Pemivibart/ Pemgarda Admin Infusion

Payers reporting HCPCS M0224

Payer pricing summary

Low

$195

Average

$631

Median

$541

High

$1.6k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +23 other terms	252	$447	$605	$706	117%	—	$1 – $13.2k
2	Aetna fee schedule · outpatient · +17 other terms	214	$451	$577	$388	67%	—	$1 – $3.5k
3	Humana fee schedule · outpatient · +19 other terms	196	$441	$450	$68	15%	—	$1 – $1.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +18 other terms	156	$923	$1.2k	$740	60%	—	$1 – $3.5k
5	Cigna fee schedule · outpatient · +16 other terms	107	$451	$569	$312	55%	—	$188 – $2.0k
6	WellCare fee schedule · outpatient · +9 other terms	107	$451	$522	$179	34%	—	$92 – $1.1k
7	Molina facility · fee schedule · outpatient · +14 other terms	85	$467	$523	$161	31%	—	$230 – $1.1k
8	Anthem fee schedule · outpatient · +17 other terms	64	$441	$503	$168	34%	—	$355 – $1.0k
9	Kaiser fee schedule · outpatient · +11 other terms	56	$454	$824	$609	74%	—	$441 – $3.5k
10	Ambetter facility · fee schedule · outpatient · +7 other terms	54	$952	$892	$194	22%	—	$419 – $1.2k
11	Devoted fee schedule · outpatient · +6 other terms	54	$453	$448	$25	6%	—	$410 – $499
12	Bcbs Tx fee schedule · outpatient	31	$1.6k	$1.5k	$694	47%	—	$423 – $3.0k
13	Optum fee schedule · outpatient · +10 other terms	31	$441	$555	$196	35%	—	$400 – $881
14	Clover fee schedule · outpatient · +2 other terms	29	$492	$476	$31	7%	—	$427 – $531
15	Caresource fee schedule · outpatient · +8 other terms	26	$249	$295	$179	61%	—	$1 – $568
16	Oscar facility · fee schedule · outpatient · +10 other terms	26	$645	$655	$70	11%	—	$517 – $792
17	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$560	$558	$111	20%	—	$421 – $732
18	Medica fee schedule · outpatient · +15 other terms	24	$540	$535	$112	21%	—	$225 – $775
19	Medicare fee schedule · outpatient · +9 other terms	23	$441	$441	$2	0%	—	$435 – $441
20	Superior Healthplan facility · fee schedule · outpatient · +2 other terms	21	$465	$457	$11	2%	—	$443 – $466
21	MultiPlan fee schedule · outpatient · +10 other terms	18	$641	$661	$211	32%	—	$423 – $1.5k
22	Regence facility · fee schedule · outpatient · +2 other terms	18	$464	$556	$267	48%	—	$417 – $1.5k
23	Highmark fee schedule · outpatient · +4 other terms	16	$579	$595	$213	36%	—	$202 – $1.3k
24	Tricare fee schedule · outpatient · +5 other terms	16	$428	$429	$22	5%	—	$400 – $451
25	Medical Mutual facility · fee schedule · outpatient · +3 other terms	14	$422	$501	$102	20%	—	$417 – $659

Page 1 of 3 · 59 payers