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Immune Globulin (Flebogamma/Flebogamma Dif) Injection

Nebraska 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?

$52.48per 500 mg

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $52.48 for each 500 mg of this drug. The price depends on where it is billed: about $51.29 from a physician practice, and about $63.10 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
$63.10

The same drug, in the same amount, costs 23% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 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 $54.95
FacilityA hospital or hospital-owned outpatient department$63.10$54.95 to $91.20

How much rates vary

Facilitymedian $63 · 10th to 90th $45 to $110Professionalmedian $51 · 10th to 90th $51 to $60
$50$100$200facility $63professional $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
$42.66
Median
$51.29
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$60.26
Typical High
$63.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$61.66
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$53.70
Typical High
$66.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$56.23
Typical High
$281.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$60.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$91.20
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$56.23
Typical High
$63.10

Where Nebraska 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.

Nebraska· 41st of 51

$52.48

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.