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Immune Globulin (Octagam) Injection

Montana rates for HCPCS J1568

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

Rates data updated July 2026.

Facilitymedian $55 · 10th–90th $47$1380%50%10th90th$55Professionalmedian $51 · 10th–90th $48$1260%20%40%10th90th$51$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Professional
Modifier
Global
Typical Low
$47.86
Median
$51.29
Typical High
$125.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$61.66
Typical High
$87,096.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$54.95
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$50.12
Typical High
$134.90
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$50.12
Typical High
$134.90
Providence
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$114.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$60.26
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86