go back

Connecticut rates for HCPCS J1568

Injection, immune globulin, (Octagam), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.43 / $75.56 / $142.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.43 / $49.43 / $49.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.52 / $72.26 / $147.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $47.53 / $47.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.52 / $47.52 / $47.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.52 / $47.52 / $47.52
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.31 / $51.56 / $59.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.78 / $47.53 / $105.89