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
Nebraska
Hospital Address Code Price Last Updated
Chi Health St. Elizabeth 555 S. 70Th St., Lincoln J1568 $178 [source] 4 years ago
Chi Health Good Samaritan 10 E 31St St, Kearney J1568 $178 [source] 4 years ago
Chi Health Lakeside 17201 Wright St, Omaha J1568 $178 [source] 4 years ago
Chi Health Schuyler 1721 Colfax St, Schuyler J1568 $178 [source] 4 years ago
Chi Health Midlands 11111 S 84Th St, Papillion J1568 $178 [source] 4 years ago
Chi Health Plainview 704 N 3Rd St, Plainview J1568 $178 [source] 4 years ago
Chi Health St. Mary 1301 Grundman Blvd, Nebraska City J1568 $178 [source] 4 years ago
Chi Health Creighton University Medical Center - Bergan Mercy 7500 Mercy Rd, Omaha J1568 $178 [source] 4 years ago
Chi Health Immanuel 7101 Newport Ave, Omaha J1568 $178 [source] 4 years ago
Chi Health St. Francis 2116 W Faidley Ave, Grand Island J1568 $178 [source] 4 years ago
Chi Health Nebraska Heart 7500 So. 91St St., Lincoln J1568 $178 [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.