Code: J1568

Description:
Description: Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Other Descriptions:
IVIG OCTAGAM 500 MG
IVIG OCTAGAM 30 G
IVIG OCTAGAM 20 G
IMMUNE GLOBGAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION
IMMUNE GLOBGAMM(IGG) 5 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION
IMMUNE GLOBULIN 1GM 20M V
IMMUNE GLOBULIN-OCTAGAM 5
IMMUNE GLOBULIN(OCTAGAM) 10% : 2GM
OCTAGAM 5% 5GM/100ML VIAL
Related codes:
Code: J1560
Description: Injection, gamma globulin, intramuscular, over 10 cc
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Code: J1561
GAMUNEXC/GAMAKED2.5G INJ
Code: J1562
Description: Injection, immune globulin (vivaglobin), 100 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Code: J1565
RSV IMMUNOGLOBULIN 2.5GM
Code: J1566
IVIG POWDER NOS 12 G
Code: J1567
INJ IG IV NONLYOPHILIZED LIQUID 500 MG
Code: J1569
IVIG GAMMAGARD 30 GM
Kansas
Hospital Address Code Price Last Updated
Ascension Via Christi Hospital Manhattan, Inc. 1823 College Ave, Manhattan J1568 $32 [source] 4 years ago
Ascension Via Christi Hospitals Wichita Inc. 929 N Saint Francis St, Wichita J1568 $49 [source] 4 years ago
Mt. Carmel Regional Medical Center, Inc. 1 Mt Carmel Way, Pittsburg J1568 $49 [source] 4 years ago
Menorah Medical Center 5721 W. 119Th Street, Shawnee Mission J1568 $112 [source] 4 years ago
Adventhealth Ransom Memorial, Inc. 1301 S Main St , Ottawa J1568 $4,630 [source] 4 years ago
Western Plains Medical Complex 3001 Avenue A, Dodge City J1568 $7,817 [source] 4 years ago
Ascension Via Christi Rehabilitation Hospital, Inc. 1151 N Rock Rd, Wichita J1568 $8,133 [source] 4 years ago
ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.