Immune Globulin (Flebogamma/Flebogamma Dif) Injection

Tennessee 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 Tennessee, 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 $52.48 from a physician practice, and about $91.20 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.

Amount givenmg

In a doctor's office or clinic: $52.48
At a hospital outpatient department: $91.20

The same drug, in the same amount, costs 74% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$52.48	$52.48 to $52.48
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$91.20	$64.57 to $115

How much rates vary

Facilitymedian $91 · 10th to 90th $52 to $457Professionalmedian $52 · 10th to 90th $52 to $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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $52.48 Median $87.10 Typical High $114.82	Facility	Global	$52.48	$87.10	$114.82
Aetna Setting Professional Modifier Global Typical Low $52.48 Median $52.48 Typical High $53.70	Professional	Global	$52.48	$52.48	$53.70
Cigna Setting Facility Modifier Global Typical Low $58.88 Median $77.62 Typical High $95.50	Facility	Global	$58.88	$77.62	$95.50
Cigna Setting Professional Modifier Global Typical Low $53.70 Median $53.70 Typical High $53.70	Professional	Global	$53.70	$53.70	$53.70
Lucent Health Setting Facility Modifier Global Typical Low $457.09 Median $457.09 Typical High $457.09	Facility	Global	$457.09	$457.09	$457.09
United Setting Facility Modifier Global Typical Low $91.20 Median $95.50 Typical High $194.98	Facility	Global	$91.20	$95.50	$194.98
United Setting Professional Modifier Global Typical Low $52.48 Median $52.48 Typical High $58.88	Professional	Global	$52.48	$52.48	$58.88

Where Tennessee 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.

Tennessee· 37th 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.