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Immune Globulin (Octagam) Injection

South Dakota rates for HCPCS J1568

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

Rates data updated July 2026.

Facilitymedian $48 · 10th–90th $47$850%50%10th90th$48Professionalmedian $48 · 10th–90th $47$600%50%10th90th$48$50.0$100.0

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
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$60.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$81.28
Typical High
$131.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$53.70
Typical High
$53.70
Midlands
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$48.98
Typical High
$54.95
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77