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Immune Globulin (Xembify) Injection

New Hampshire 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?

$17.38per 100 mg

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $17.38 for each 100 mg of this drug. The price depends on where it is billed: about $15.49 from a physician practice, and about $21.88 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
$15.49
At a hospital outpatient department
$21.88

The same drug, in the same amount, costs 41% more 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$15.49$15.49 to $17.38
FacilityA hospital or hospital-owned outpatient department$21.88$18.20 to $27.54

How much rates vary

Facilitymedian $22 · 10th to 90th $15 to $32Professionalmedian $15 · 10th to 90th $15 to $28
$20$50facility $22professional $15

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
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$17.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$17.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$22.91
Typical High
$32.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.49
Typical High
$17.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$30.20
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$25.70
Typical High
$29.51
United
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$16.98
Typical High
$22.39

Where New Hampshire 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.

New Hampshire· 13th of 51

$17.38

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.