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Immune Globulin, Lyophilized Injection

Wisconsin rates for HCPCS J1566

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

Rates data updated July 2026.

Facilitymedian $100 · 10th–90th $79$2400%20%10th90th$100Professionalmedian $81 · 10th–90th $81$1860%50%90th$81$20.0$50.0$100.0$200.0

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
$83.18
Median
$162.18
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$83.18
Typical High
$239.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$177.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$107.15
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$102.33
Typical High
$144.54
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$79.43
Typical High
$79.43
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$158.49
Typical High
$158.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$81.28
Typical High
$173.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$91.20
Typical High
$138.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$83.18
Typical High
$83.18
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$79.43
Typical High
$79.43
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$158.49
Typical High
$158.49
Quartz
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$234.42
Quartz
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$245.47
Typical High
$398.11
Quartz
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$91.20
Security Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$109.65
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$104.71