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Illinois rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Facilitymedian $24 · 10th–90th $15–$980%10%10th90th$24Professionalmedian $22 · 10th–90th $16–$1510%20%10th90th$22$10.0$20.0$50.0$100.0$200.0

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
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $25.70 / $97.72
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $21.88 / $199.53
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $16.22 / $16.22