Payer comparison · HCPCS J1569 · BLACK RIVER FALLS, WI

J1569 — Immune Glob,gamma (igg) 10 %-gly-iga Over 50 Mcg/ml Injection Solution

What each payer pays BLACK RIVER MEMORIAL HOSPITAL (CCN 521333) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$8,550 All-payer median here

$8,239 Cash / self-pay here

23 payer/plan-name variants

← This hospital National rates for J1569 →

Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan	Median negotiated	vs all-payer median	Rate rows

CHORUS COMMUNITY HEALTH PLANS (BADGERCARE PLUS)	$8,971	4.9%	2
WPS HEALTH INSURANCE	$8,879	3.9%	2
Cigna Healthcare	$8,879	3.9%	2
COFINITY	$8,879	3.9%	2
COVENTRY HEALTH	$8,879	3.9%	2
Custom Benefit Administrators	$8,879	3.9%	2
Group Health Cooperative of Eau Claire	$8,879	3.9%	2
HealthPartners	$8,879	3.9%	2
MultiPlan	$8,879	3.9%	6
Family Health Center of Marshfield	$8,696	1.7%	2
Association Benefits Solution	$8,696	1.7%	2
Provider Network of America (PNOA)	$8,696	1.7%	2
First Health Network	$8,696	1.7%	2
Medica	$8,550	0.0%	2
The Alliance	$8,513	-0.4%	6
Triology Health Solutions	$8,468	-1.0%	4
Humana	$6,591	-22.9%	4
Security Health Plan of Wisconsin	$6,168	-27.9%	8
CORVEL	$5,584	-34.7%	4
Anthem (Elevance Health)	$5,019	-41.3%	4
My Choice Wisconsin, Inc.	$4,669	-45.4%	4
UnitedHealthcare	$4,669	-45.4%	6
QUARTZ HEALTH PLAN	$2,360	-72.4%	4

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.