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Massachusetts rates for HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Facilitymedian $20 · 10th–90th $15–$390%20%10th90th$20Professionalmedian $15 · 10th–90th $15–$250%50%10th90th$15$20.0$100.0$500.0$2.0K$10.0K$50.0K

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 / $23.44 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $19.05
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $38.90 / $51.29
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.49 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $32.36 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $22.39 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $25.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $38.90 / $51.29
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.49 / $19.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $15.49 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.49 / $19.95