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Arizona rates for HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Facilitymedian $32 · 10th–90th $14–$850%10%10th90th$32Professionalmedian $15 · 10th–90th $15–$240%50%90th$15$10.0$20.0$50.0$100.0

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
$21.38 / $27.54 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $53.70 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $28.84 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $25.12 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $19.50 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $15.49 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $15.85