go back

Maryland rates for HCPCS J1568

Octagam Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.38 / $48.38 / $94.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $47.53 / $58.63
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.52 / $47.52 / $48.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.52 / $47.52 / $60.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $47.53 / $103.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $47.53 / $53.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.30 / $49.30 / $49.30