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Immune Globulin, Lyophilized Injection

Montana rates for HCPCS J1566

Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg

Rates data updated July 2026.

Facilitymedian $93 · 10th–90th $43$2630%20%40%10th90th$93Professionalmedian $89 · 10th–90th $79$2190%50%10th90th$89$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$89.13
Typical High
$218.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$102.33
Typical High
$87,096.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$93.33
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$83.18
Typical High
$234.42
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$83.18
Typical High
$234.42
Providence
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$199.53
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43