go back

Missouri 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
$48.38 / $116.55 / $7,329.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $48.48 / $108.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.52 / $80.80 / $170.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $47.53 / $59.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.83 / $47.52 / $47.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.52 / $47.52 / $47.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.38 / $66.56 / $240.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.78 / $48.38 / $55.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.53 / $47.53 / $47.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $47.53 / $56.48