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Ohio rates for HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Facilitymedian $26 · 10th–90th $15–$420%10%10th90th$26Professionalmedian $15 · 10th–90th $15–$240%50%90th$15$0.2$1.0$5.0$20.0$100.0

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 / $25.70 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $19.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $24.55 / $54.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $18.62 / $29.51
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $32.36 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $15.14
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $29.51
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $18.62 / $21.38
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $25.70 / $35.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $16.98