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Immune Globulin (Octagam) Injection

Utah 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$980%20%40%10th90th$55Professionalmedian $55 · 10th–90th $47$550%50%10th$55$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
$54.95
Median
$54.95
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$69.18
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$97.72
Select Health
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$46.77
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$52.48