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landamom, I don't know what insurance carrier you have, but I'm pretty sure your child would qualify for coverage for IVIG on the BCBS guideline used in our region. They cover with a total IgG below 500 for CVID dx. For Subclass deficiency the criteria is > 2 standard deviations below the lower limits of normal, plus failed vax challenge, plus recurrent infections. It's frustrating that companies are allowed to make guidelines with such arbitrary cutoffs, since docs say it's the function that means most, not whether you fall two points below some number or two points above.

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