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

Maine

Hospital	Address	Code	Price	Last Updated
Sebasticook Valley Health	447 N Main St, Pittsfield	J1568	$81 [source]	4 years ago
Mercy Hospital	144 State St, Portland	J1568	$102 [source]	4 years ago
Eastern Maine Medical Center	489 State St, Bangor	J1568	$167 [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 §180.