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Immune Globulin (Octagam) Injection

Maine rates for HCPCS J1568

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

Rates data updated July 2026.

Facilitymedian $110 · 10th–90th $55$1170%20%10th90th$110Professionalmedian $48 · 10th–90th $47$580%50%10th90th$48$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$48.98
Typical High
$57.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$54.95
Typical High
$147.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$56.23
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$57.54
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$117.49
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$50.12
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$47.86
Typical High
$69.18