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Pennsylvania rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Facilitymedian $35 · 10th–90th $19–$560%10%20%10th90th$35Professionalmedian $18 · 10th–90th $18–$300%50%90th$18$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $36.31 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $29.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $19.95 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $19.05 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $66.07 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $32.36 / $32.36
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $28.18 / $47.86
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $19.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $18.62 / $21.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $18.62 / $21.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $20.42 / $29.51