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North Carolina rates for HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Facilitymedian $19 · 10th–90th $13–$310%10%20%10th90th$19Professionalmedian $15 · 10th–90th $13–$260%20%40%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
$13.49 / $19.50 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $26.30
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $24.55 / $33.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $24.55 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $17.38
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $15.14 / $18.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $23.44 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $19.95
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11