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Immune Globulin (Octagam) Injection

Washington 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$1100%10%20%10th90th$66Professionalmedian $52 · 10th–90th $47$1050%20%10th90th$52$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
$51.29
Median
$81.28
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$52.48
Typical High
$104.71
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$51.29
Typical High
$75.86
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$57.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$54.95
Typical High
$89.13
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$72.44
Typical High
$151.36
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$72.44
Typical High
$72.44
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$51.29
Typical High
$93.33
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$52.48
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$61.66