Xembify immune globulin injection, per 100 mg

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Inj. xembify, 100 mg

Payers reporting HCPCS J1558

Payer pricing summary

Low

Average

$91

Median

$22

High

$1.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +15 other terms	545	$23	$28	$64	226%	—	$8 – $919
2	Aetna fee schedule · outpatient · +13 other terms	360	$16	$32	$112	348%	—	$8 – $2.0k
3	Cigna fee schedule · outpatient · +12 other terms	327	$21	$35	$39	112%	—	$12 – $838
4	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	304	$24	$38	$54	141%	—	$1 – $1.2k
5	Humana fee schedule · outpatient · +11 other terms	300	$15	$29	$126	438%	—	$11 – $2.0k
6	Molina fee schedule · outpatient · +10 other terms	128	$22	$71	$227	320%	—	$11 – $2.2k
7	WellCare fee schedule · outpatient · +5 other terms	116	$15	$17	$5	31%	—	$13 – $33
8	Anthem fee schedule · outpatient · +10 other terms	105	$20	$35	$79	226%	—	$13 – $682
9	Devoted fee schedule · outpatient · +2 other terms	66	$15	$15	$1	5%	—	$14 – $16
10	Caresource fee schedule · outpatient · +5 other terms	64	$19	$19	$4	20%	—	$14 – $29
11	Kaiser fee schedule · outpatient · +6 other terms	56	$23	$28	$18	67%	—	$12 – $107
12	Ambetter facility · fee schedule · outpatient · +5 other terms	51	$26	$28	$6	22%	—	$14 – $36
13	Optum fee schedule · outpatient · +5 other terms	34	$15	$78	$247	315%	—	$13 – $1.2k
14	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$71	$66	$31	47%	—	$13 – $128
15	Oscar facility · fee schedule · outpatient · +4 other terms	25	$19	$21	$4	18%	—	$15 – $27
16	Clover fee schedule · outpatient · +3 other terms	24	$16	$15	$1	6%	—	$14 – $17
17	Regence facility · fee schedule · outpatient · +4 other terms	24	$16	$17	$3	20%	—	$13 – $25
18	Aetna Better Health fee schedule · outpatient · +6 other terms	22	$15	$15	$1	7%	—	$15 – $18
19	Medical Mutual facility · fee schedule · outpatient · +4 other terms	21	$28	$31	$15	46%	—	$8 – $64
20	Healthpartners fee schedule · outpatient · +3 other terms	19	$17	$17	$0	3%	—	$16 – $17
21	Medicare fee schedule · outpatient · +2 other terms	19	$15	$15	$0	2%	—	$13 – $15
22	Highmark fee schedule · outpatient · +6 other terms	16	$20	$34	$146	436%	—	$8 – $2.2k
23	MultiPlan fee schedule · outpatient · +4 other terms	15	$24	$23	$2	7%	—	$15 – $24
24	Wellmark fee schedule · both · +4 other terms	14	$14	$14	$0	1%	—	$14 – $15
25	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$15	$15	$3	24%	—	$7 – $18

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