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.
Original text from hospital filings
ICATIBANT ACETATE 30 MG/3ML SC SOSY
Maple Grove, MN
See all hospitals reporting HCPCS J1744 →Price type
Fairview Maple Grove Surgery Center’s median price of $221 is 9% below the median hospital's median price ($244), higher than 46% of the 1,428 hospitals reporting HCPCS J1744. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 29 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medica ma non-snp fee schedule · both | $102 | $102 | — | — | — | $102 – $102 |
| 2 | Medica ma snp fee schedule · both | $102 | $102 | — | — | — | $102 – $102 |
| 3 | Medica prime solution fee schedule · both | $102 | $102 | — | — | — | $102 – $102 |
| 4 | Medica vantage fee schedule · both | $102 | $102 | — | — | — | $102 – $102 |
| 5 | Cigna commercial fee schedule · outpatient | $110 | $110 | $10 | 9% | — | $101 – $120 |
| 6 | UnitedHealthcare medicare advantage fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 7 | Blue Cross Blue Shield medicare advantage fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 8 | Cigna commercial fee schedule · both | $162 | $162 | $14 | 9% | — | $148 – $176 |
| 9 | UnitedHealthcare commercial fee schedule · both | $174 | $174 | — | — | — | $174 – $174 |
| 10 | Ucare ifp with fairview fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 11 | Ucare mhcp fee schedule · both | $235 | $235 | — | — | — | $235 – $235 |
| 12 | Ucare ifp with fairview fee schedule · both | $237 | $237 | — | — | — | $237 – $237 |
| 13 | Medica accessability fee schedule · both | $245 | $245 | — | — | — | $245 – $245 |
| 14 | Medica medicaid fee schedule · both | $245 | $245 | — | — | — | $245 – $245 |
| 15 | Ucare ifp fee schedule · both | $249 | $249 | — | — | — | $249 – $249 |
| 16 | Medicaid medicaid fee schedule · both | $262 | $262 | — | — | — | $262 – $262 |
| 17 | Medica bold fee schedule · both | $263 | $263 | — | — | — | $263 – $263 |
| 18 | Blue Cross Blue Shield medicaid fee schedule · both | $267 | $267 | — | — | — | $267 – $267 |
| 19 | Medica choice without / elect fee schedule · both | $293 | $293 | — | — | — | $293 – $293 |
| 20 | Medica city of st paul / essential uplan fee schedule · both | $293 | $293 | — | — | — | $293 – $293 |
| 21 | Ucare ifp fee schedule · outpatient | $295 | $295 | — | — | — | $295 – $295 |
| 22 | Medica choice with fee schedule · both | $303 | $303 | — | — | — | $303 – $303 |
| 23 | Blue Cross Blue Shield federal fee schedule · both | $340 | $340 | — | — | — | $340 – $340 |
| 24 | Blue Cross Blue Shield federal fee schedule · outpatient | $340 | $340 | — | — | — | $340 – $340 |
| 25 | Blue Cross Blue Shield commercial fee schedule · both | $346 | $346 | — | — | — | $346 – $346 |
Last updated: May 18, 2026
See Injection of icatibant, per 1 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.