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Washington rates for HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Facilitymedian $21 · 10th–90th $15–$320%10%20%10th90th$21Professionalmedian $15 · 10th–90th $15–$180%50%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
$15.85 / $26.30 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $19.95
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $16.98 / $25.12
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $19.05
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $16.98 / $28.18
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $19.05 / $39.81
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $17.38 / $17.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $16.98 / $32.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $16.98
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $19.95