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Immune Globulin (Xembify) Injection

Montana rates for HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Rates data updated July 2026.

How much does Xembify (immune globulin subcutaneous, human-klhw) cost?

$16.60per 100 mg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $16.60 for each 100 mg of this drug. The price depends on where it is billed: about $16.98 from a physician practice, and about $15.49 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 100 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$16.98
At a hospital outpatient department
$15.49

The same drug, in the same amount, costs 9% less at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$16.98$15.49 to $19.05
FacilityA hospital or hospital-owned outpatient department$15.49$15.14 to $18.20

How much rates vary

Facilitymedian $15 · 10th to 90th $15 to $28Professionalmedian $17 · 10th to 90th $15 to $40
$20$50facility $15professional $17

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$18.62
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$16.22
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$42.66
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$42.66
Providence
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Providence
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$21.88
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14

Where Montana sits

The same service costs 2.3 times more in Delaware than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 21st of 51

$16.60

DE $35.48HI $15.14

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.