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Texas rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Facilitymedian $32 · 10th–90th $18–$600%10%20%10th90th$32Professionalmedian $18 · 10th–90th $18–$300%50%90th$18$10.0$20.0$50.0$100.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $33.88 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $29.51
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $31.62 / $58.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $45.71 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $26.30 / $37.15
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $31.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $18.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $26.30 / $60.26
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $18.62 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $19.50 / $20.42