go back

Immune Globulin (Octagam) Injection

Wisconsin rates for HCPCS J1568

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

Rates data updated July 2026.

Facilitymedian $60 · 10th–90th $48$1410%20%10th90th$60Professionalmedian $49 · 10th–90th $47$1050%50%10th90th$49$20.0$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
$48.98
Median
$93.33
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$50.12
Typical High
$141.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$104.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$63.10
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$60.26
Typical High
$87.10
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$47.86
Typical High
$48.98
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$95.50
Typical High
$95.50
Medica
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$47.86
Typical High
$48.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$53.70
Typical High
$95.50
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$47.86
Typical High
$47.86
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$47.86
Typical High
$48.98
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$95.50
Typical High
$95.50
Quartz
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$48.98
Typical High
$141.25
Quartz
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$144.54
Typical High
$234.42
Quartz
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$51.29
Security Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$63.10
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$52.48
Typical High
$63.10