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Nebraska rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Facilitymedian $17 · 10th–90th $9–$1000%10%20%10th90th$17Professionalmedian $14 · 10th–90th $9–$160%20%10th90th$14$10.0$20.0$50.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $9.33
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $16.60 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $14.45 / $16.22
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $14.79 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $16.22