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Louisiana rates for HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Facilitymedian $16 · 10th–90th $15–$330%20%40%10th90th$16Professionalmedian $15 · 10th–90th $15–$160%50%90th$15$20.0$50.0

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 / $15.85 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.85
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $30.20 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $15.49 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $16.98