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Missouri rates for HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Facilitymedian $19 · 10th–90th $15–$450%20%10th90th$19Professionalmedian $15 · 10th–90th $15–$260%50%10th90th$15$10.0$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 / $22.91 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $32.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $16.60 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $26.92 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $21.38 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $14.79 / $17.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $17.38 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $21.88