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Wisconsin rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Facilitymedian $14 · 10th–90th $9$260%20%10th90th$14Professionalmedian $16 · 10th–90th $8$180%20%40%10th90th$16$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
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $18.20 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.00 / $18.20
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $10.47 / $14.45
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $10.47 / $14.45
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $16.22 / $17.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $64.57 / $85.11
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45