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Immune Globulin (Octagam) Injection

New Hampshire rates for HCPCS J1568

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

Rates data updated July 2026.

Facilitymedian $66 · 10th–90th $47$1120%10%20%10th90th$66Professionalmedian $47 · 10th–90th $47$870%50%90th$47$50.0$100.0$200.0

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
$46.77
Median
$46.77
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$51.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$97.72
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$93.33
Typical High
$125.89
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
$77.62
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$47.86
Typical High
$67.61