go back

Minnesota rates for HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $21.38 / $22.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.79 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $16.22 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $18.20 / $19.50
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.49 / $16.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $25.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $16.60 / $19.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $16.98 / $27.54