Code: J1569

Description:
Description: Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Other Descriptions:
IVIG GAMMAGARD 10 G
IVIG GAMMAGARD 1 G
IVIG GAMMAGARD 2500MG
IVIG GAMMAGARD 5 G
IVIG GAMMAGARD 20 G
IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION
Gammagard Liquid Inj 500 Mg
IMMUNE GLOBULIN ORAL LIQUID 100 MG/ML (GAMMAGARD 10%)
IMMUNE GLOBGAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION
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: J1568
IVIG OCTAGAM 10 G
Idaho
Hospital Address Code Price Last Updated
St. Joseph Regional Medical Center 415 6Th St, Lewiston J1569 $43 [source] 4 years ago
St. Joseph Regional Medical Center 415 Sixth Street, Lewiston J1569 $43 [source] 4 years ago
Kootenai Health 2003 Kootenai Health Way, Coeur D Alene J1569 $99 [source] 4 years ago
Vibra Hospital Of Boise 6651 W Franklin Rd., Boise J1569 $1,034 [source] 4 years ago
Steele Memorial Medical Center 203 S Daisy St, Salmon J1569 $3,244 [source] 4 years ago
West Valley Medical Center 1717 Arlington Ave., Caldwell J1569 $3,254 [source] 4 years ago
Caribou Memorial Hospital 300 S 3Rd W, Soda Springs J1569 $3,542 [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.