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Immune Globulin, Lyophilized Injection

Pennsylvania rates for HCPCS J1566 · Gammagard S/D

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

Rates data updated July 2026.

How much does Gammagard S/D cost?

$85.11per 500 mg

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $85.11 for each 500 mg of this drug. The price depends on where it is billed: about $81.28 from a physician practice, and about $120 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 500 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$81.28
At a hospital outpatient department
$120

The same drug, in the same amount, costs 48% more 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 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$81.28$81.28 to $89.13
FacilityA hospital or hospital-owned outpatient department$120$81.28 to $200

How much rates vary

Facilitymedian $120 · 10th to 90th $71 to $234Professionalmedian $81 · 10th to 90th $81 to $115
$100$200$500facility $120professional $81

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$123.03
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$109.65
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$83.18
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$281.84
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$138.04
Typical High
$138.04
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$245.47
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$120.23
Typical High
$229.09
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$81.28
Typical High
$208.93
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$93.33
Typical High
$114.82
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$85.11
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$131.83

Where Pennsylvania sits

The same service costs 2.5 times more in Delaware than in Minnesota. 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.

Pennsylvania· 27th of 51

$85.11

DE $195MN $79.43

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.