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Idaho rates for HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Facilitymedian $17 · 10th–90th $15–$250%20%10th90th$17Professionalmedian $15 · 10th–90th $15–$180%50%10th90th$15$10.0$20.0

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 / $15.14 / $17.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $17.38 / $25.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $17.78 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $17.38 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $19.05
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.49 / $19.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $28.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $18.62 / $18.62
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $16.98