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Immune Globulin (Octagam) Injection

Michigan rates for HCPCS J1568

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

Rates data updated July 2026.

Facilitymedian $85 · 10th–90th $48$1450%20%10th90th$85Professionalmedian $48 · 10th–90th $47$580%50%10th90th$48$50.0$100.0$200.0$500.0

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
$48.98
Median
$85.11
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$48.98
Typical High
$63.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$83.18
Typical High
$181.97
BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$47.86
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$46.77
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$125.89
Typical High
$151.36
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$48.98
Typical High
$66.07
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$52.48
Typical High
$56.23