go back

Iowa rates for HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Facilitymedian $15 · 10th–90th $15$230%50%10th90th$15Professionalmedian $15 · 10th–90th $15$260%20%40%10th90th$15$1.0$2.0$5.0$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
$15.14 / $22.91 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $19.05
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $21.38 / $54.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $15.49 / $25.12
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $16.22 / $21.38
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $18.62 / $18.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.85 / $16.98
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $15.14 / $15.14