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Immune Globulin (Flebogamma/Flebogamma Dif) Injection

Indiana rates for HCPCS J1572

Injection, immune globulin, (Flebogamma/Flebogamma Dif), intravenous, nonlyophilized (e.g., liquid), 500 mg

Rates data updated July 2026.

How much does Immune Globulin (Flebogamma/Flebogamma Dif) Injection cost?

$79.43per 500 mg

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $79.43 for each 500 mg of this drug. The price depends on where it is billed: about $51.29 from a physician practice, and about $79.43 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
$51.29
At a hospital outpatient department
$79.43

The same drug, in the same amount, costs 55% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 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$51.29$51.29 to $56.23
FacilityA hospital or hospital-owned outpatient department$79.43$79.43 to $105

How much rates vary

Facilitymedian $79 · 10th to 90th $55 to $148Professionalmedian $51 · 10th to 90th $51 to $76
$50$100facility $79professional $51

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
$51.29
Median
$51.29
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$79.43
Typical High
$147.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$85.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$57.54
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$147.91
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$158.49
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$58.88
Typical High
$104.71

Where Indiana sits

The same service costs 1.7 times more in Alaska than in Iowa. 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.

Indiana· 3rd of 51

$79.43

AK $85.11IA $51.29

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.