go back

North Carolina 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
$41.82 / $80.34 / $99.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.82 / $47.53 / $66.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.01 / $82.52 / $121.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.14 / $44.14 / $51.57
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 / $116.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.82 / $56.56 / $128.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.71 / $37.71 / $37.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $47.53 / $62.74
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.07 / $100.00 / $237.65