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Indiana rates for HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Facilitymedian $23 · 10th–90th $15–$430%20%10th90th$23Professionalmedian $15 · 10th–90th $15–$210%50%90th$15$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 / $34.67 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $22.91 / $33.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $29.51
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $22.91
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $42.66 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $19.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $28.84 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $16.98 / $30.20