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Hepatitis B Immune Globulin (Hepagam B) Injection

Wisconsin rates for HCPCS J1573

Injection, hepatitis B immune globulin (Hepagam B), intravenous, 0.5 ml

Rates data updated July 2026.

Facilitymedian $105 · 10th–90th $66$2090%10%20%10th90th$105Professionalmedian $71 · 10th–90th $71$1580%50%90th$71$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$141.25
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$72.44
Typical High
$208.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$154.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$169.82
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$128.82
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$66.07
Typical High
$66.07
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$131.83
Typical High
$131.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$72.44
Typical High
$72.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$79.43
Typical High
$112.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$74.13
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$66.07
Typical High
$66.07
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$131.83
Typical High
$131.83
Quartz
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$89.13
Typical High
$213.80
Quartz
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$213.80
Typical High
$354.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Security Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$89.13
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$77.62
Typical High
$93.33