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
Kansas
Hospital Address Code Price Last Updated
Ascension Via Christi Hospital Manhattan, Inc. 1823 College Ave, Manhattan J1569 $39 [source] 4 years ago
Ascension Via Christi Hospitals Wichita Inc. 929 N Saint Francis St, Wichita J1569 $52 [source] 4 years ago
Mt. Carmel Regional Medical Center, Inc. 1 Mt Carmel Way, Pittsburg J1569 $52 [source] 4 years ago
Adventhealth Ransom Memorial, Inc. 1301 S Main St , Ottawa J1569 $1,775 [source] 4 years ago
Overland Park Regional Medical Center 10500 Quivira Road, Shawnee Mission J1569 $2,924 [source] 4 years ago
Ascension Via Christi Rehabilitation Hospital, Inc. 1151 N Rock Rd, Wichita J1569 $8,133 [source] 4 years ago
Menorah Medical Center 5721 W. 119Th Street, Shawnee Mission J1569 $8,771 [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.