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Immune Globulin (Vivaglobin) Injection

Wisconsin rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Rates data updated July 2026.

How much does Immune Globulin (Vivaglobin) Injection cost?

$15.85per 100 mg

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $15.85 for each 100 mg of this drug. The price depends on where it is billed: about $16.22 from a physician practice, and about $14.45 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 100 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$16.22
At a hospital outpatient department
$14.45

The same drug, in the same amount, costs 11% less at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$16.22$14.45 to $16.22
FacilityA hospital or hospital-owned outpatient department$14.45$10.47 to $20.42

How much rates vary

Facilitymedian $14 · 10th to 90th $9 to $37Professionalmedian $16 · 10th to 90th $8 to $18
$10$20$50$100facility $14professional $16

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$18.20
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$15.85
Typical High
$18.20
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$10.47
Typical High
$14.45
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$5.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$10.47
Typical High
$14.45
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$16.22
Typical High
$17.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$85.11
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$10.47
Typical High
$14.45
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$5.13
Quartz
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$100.00

Where Wisconsin sits

The same service costs 14.1 times more in Texas than in Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 13th of 34

$15.85

TX $100VA $7.08

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.