Palivizumab injection, home infusion

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

Ht inj palivizumab/ab diem

Payers reporting HCPCS S9562

Payer pricing summary

Low

Average

$62

Median

$54

High

$250

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +6 other terms	34	$12	$31	$46	148%	—	$10 – $174
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms	29	$98	$155	$133	86%	—	$0 – $658
3	Molina facility · case rate · outpatient · +4 other terms	29	$34	$61	$43	70%	—	$14 – $182
4	UnitedHealthcare facility · case rate · outpatient · +6 other terms	17	$21	$32	$24	74%	—	$14 – $88
5	Anthem facility · case rate · outpatient · +6 other terms	15	$20	$22	$5	23%	—	$13 – $34
6	Caresource facility · case rate · outpatient · +1 other terms	15	$20	$22	$5	23%	—	$13 – $34
7	Optum facility · case rate · outpatient · +1 other terms	13	$19	$29	$20	70%	—	$17 – $76
8	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$293	$222	$124	56%	—	$96 – $366
9	Humana fee schedule · outpatient · +4 other terms	9	$10	$86	$85	99%	—	$10 – $183
10	Medica fee schedule · both · +1 other terms	9	$68	$68	—	—	—	$68 – $68
11	Ucare fee schedule · both · +1 other terms	9	$70	$70	$3	5%	—	$66 – $74
12	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$10	$10	—	—	—	$10 – $10
13	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$88	$89	$3	3%	—	$88 – $96
14	Cigna facility · fee schedule · outpatient · +2 other terms	5	$7	$27	$67	244%	—	$5 – $250
15	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$0	$0	$0	7%	—	$0 – $0
16	First Health professional · fee schedule · both	3	$11	$11	—	—	—	$11 – $11
17	Wellmark facility · case rate · outpatient · +2 other terms	3	$309	$271	$85	32%	—	$126 – $341
18	Kaiser fee schedule · both	2	$55	$55	—	—	—	$55 – $55
19	Medicaid facility · case rate · outpatient	2	$80	$80	—	—	—	$80 – $80
20	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
21	Bcbs Il professional · fee schedule · both	1	$20	$20	—	—	—	$20 – $20
22	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
23	Bcbs Nc facility · fee schedule · outpatient	1	$4	$4	—	—	—	$4 – $4
24	Bcbs Nv fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35
25	Bcbs Vt professional · fee schedule · outpatient	1	$10	$10	—	—	—	$10 – $10

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