Idacio (adalimumab-aacf) injection

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

Inj, idacio, 1 mg

Payers reporting HCPCS Q5144

Payer pricing summary

Low

Average

$190

Median

$33

High

$3.4k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +14 other terms	300	$14	$17	$15	86%	—	$7 – $163
2	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	196	$42	$55	$37	66%	—	$8 – $146
3	Cigna fee schedule · outpatient · +11 other terms	175	$34	$66	$56	85%	—	$8 – $196
4	Aetna fee schedule · outpatient · +12 other terms	143	$16	$27	$35	130%	—	$8 – $234
5	Humana fee schedule · outpatient · +9 other terms	110	$9	$17	$27	162%	—	$8 – $171
6	Anthem fee schedule · outpatient · +6 other terms	64	$25	$29	$27	93%	—	$8 – $163
7	WellCare fee schedule · outpatient · +6 other terms	63	$14	$16	$9	58%	—	$8 – $35
8	Kaiser fee schedule · both · +4 other terms	41	$201	$202	$53	26%	—	$164 – $277
9	Molina fee schedule · outpatient · +8 other terms	40	$14	$33	$84	257%	—	$8 – $527
10	Bcbs Tx fee schedule · outpatient	31	$85	$79	$38	47%	—	$14 – $154
11	Devoted fee schedule · outpatient · +2 other terms	31	$16	$13	$4	32%	—	$8 – $17
12	Ambetter facility · fee schedule · outpatient · +3 other terms	21	$19	$28	$10	36%	—	$8 – $38
13	Clover fee schedule · outpatient · +2 other terms	19	$16	$14	$4	30%	—	$8 – $18
14	Optum facility · fee schedule · outpatient · +3 other terms	19	$15	$13	$3	21%	—	$6 – $15
15	Caresource facility · case rate · outpatient · +4 other terms	17	$181	$167	$82	49%	—	$8 – $314
16	Oscar facility · fee schedule · outpatient · +2 other terms	13	$25	$20	$7	34%	—	$10 – $25
17	Wellmark fee schedule · both · +3 other terms	13	$11	$11	—	—	—	$11 – $11
18	Bcbs Nj fee schedule · outpatient	12	$14	$20	$16	83%	—	$11 – $73
19	Cigna Healthspring fee schedule · outpatient · +1 other terms	12	$8	$8	—	—	—	$8 – $8
20	Highmark fee schedule · outpatient · +3 other terms	12	$18	$21	$35	168%	—	$5 – $527
21	Aetna Better Health fee schedule · outpatient · +4 other terms	11	$16	$12	$4	33%	—	$8 – $16
22	Medica facility · fee schedule · outpatient · +4 other terms	11	$8	$9	$4	44%	—	$8 – $23
23	Sanford Health Plan fee schedule · outpatient · +3 other terms	11	$8	$10	$2	19%	—	$8 – $11
24	Bcbs Mn fee schedule · outpatient · +4 other terms	9	$8	$10	$3	32%	—	$8 – $15
25	Medical Mutual fee schedule · outpatient · +1 other terms	9	$19	$19	—	—	—	$19 – $19

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