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Missouri rates for HCPCS J1557

Injection, immune globulin, (Gammaplex), intravenous, nonlyophilized (e.g., liquid), 500 mg

Facilitymedian $78 · 10th–90th $65–$1820%20%40%10th90th$78Professionalmedian $65 · 10th–90th $63–$1380%50%10th90th$65$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $138.04 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $64.57 / $165.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $69.18 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $120.23 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $107.15 / $288.40
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $63.10 / $74.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $70.79 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $64.57 / $95.50