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Immune Globulin (Flebogamma/Flebogamma Dif) Injection

Maine 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?

$53.70per 500 mg

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $53.70 for each 500 mg of this drug. Most negotiated rates run $52.48 to $58.88.

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
$53.70

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

How much rates vary

Facilitymedian $105 · 10th to 90th $62 to $288Professionalmedian $54 · 10th to 90th $51 to $59
$50$100$200facility $105professional $54

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
Professional
Modifier
Global
Typical Low
$51.29
Median
$53.70
Typical High
$53.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$104.71
Typical High
$288.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$52.48
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$61.66
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$79.43
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$53.70
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$77.62

Where Maine 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.

Maine· 26th of 51

$53.70

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.