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New York rates for HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Facilitymedian $19 · 10th–90th $15$350%20%10th90th$19Professionalmedian $15 · 10th–90th $15$250%50%10th90th$15$10.0$50.0$200.0$1.0K$5.0K$20.0K

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 / $19.95 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $25.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $16.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $14.13
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $20.42 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $63.10
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $19.05 / $52.48
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $25.12
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $15.49
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $15.49
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $15.49 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.98 / $30.20
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $17.38
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $15.49 / $17.78