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
Michigan
Hospital Address Code Price Last Updated
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester J1568 $58 [source] 4 years ago
St. John Providence 28000 Dequindre Rd, Warren J1568 $59 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield J1568 $103 [source] 4 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren J1568 $116 [source] 4 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak J1568 $825 [source] 4 years ago
William Beaumont Hospital 10000 Telegraph Rd, Taylor J1568 $825 [source] 4 years ago
Mclaren Thumb Region 1100 S Van Dyke Rd, Bad Axe J1568 $1,327 [source] 4 years ago
Up Health System – Marquette 580 West College Avenue, Marquette J1568 $6,727 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy J1568 $9,022 [source] 4 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy J1568 $9,022 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre, Troy J1568 $9,022 [source] 4 years ago
Midmichigan Medical Center Gladwin , Gladwin J1568 $18,485 [source] 4 years ago
Midmichigan Medical Center Gratiot 300 E Warwick Dr, Alma J1568 $23,247 [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.