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
Massachusetts
Hospital Address Code Price Last Updated
Vibra Hospital Of Western Massachusetts – Central Campus 111 Huntoon Memorial Highway, Rochdale J1569 $133 [source] 4 years ago
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs J1569 $142 [source] 4 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge J1569 $142 [source] 4 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich J1569 $142 [source] 4 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton J1569 $142 [source] 4 years ago
Mclean Hospital 115 Mill St, Belmont J1569 $142 [source] 4 years ago
Massachusetts Eye And Ear 243 Charles St, Boston J1569 $142 [source] 4 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown J1569 $142 [source] 4 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls J1569 $142 [source] 4 years ago
Nantucket Cottage Hospital 57 Prospect St, Nantucket J1569 $208 [source] 4 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain J1569 $1,454 [source] 4 years ago
Massachusetts General Hospital 55 Fruit St, Boston J1569 $1,472 [source] 4 years ago
North Shore Medical Center Hospital 81 Highland Ave, Salem J1569 $2,909 [source] 4 years ago
Brigham & Women Hospital 75 Francis St, Boston J1569 $3,892 [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.