Immune Globulin (Flebogamma/Flebogamma Dif) Injection

West Virginia 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 negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $53.70 for each 500 mg of this drug. The price depends on where it is billed: about $53.70 from a physician practice, and about $53.70 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: $53.70
At a hospital outpatient department: $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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 3 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	$53.70	$53.70 to $53.70
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$53.70	$53.70 to $53.70

How much rates vary

Facilitymedian $54 · 10th to 90th $54 to $85Professionalmedian $54 · 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. Small sample; interpret with caution. 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 $53.70 Median $53.70 Typical High $53.70	Facility	Global	$53.70	$53.70	$53.70
Aetna Setting Professional Modifier Global Typical Low $53.70 Median $53.70 Typical High $53.70	Professional	Global	$53.70	$53.70	$53.70
Cigna Setting Facility Modifier Global Typical Low $53.70 Median $67.61 Typical High $85.11	Facility	Global	$53.70	$67.61	$85.11
Cigna Setting Professional Modifier Global Typical Low $53.70 Median $53.70 Typical High $288.40	Professional	Global	$53.70	$53.70	$288.40
United Setting Facility Modifier Global Typical Low $91.20 Median $91.20 Typical High $151.36	Facility	Global	$91.20	$91.20	$151.36
United Setting Professional Modifier Global Typical Low $52.48 Median $52.48 Typical High $63.10	Professional	Global	$52.48	$52.48	$63.10

Where West Virginia 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.

West Virginia· 24th 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.