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

Maine

Hospital	Address	Code	Price	Last Updated
Sebasticook Valley Health	447 N Main St, Pittsfield	J1569	$108 [source]	4 years ago
Eastern Maine Medical Center	489 State St, Bangor	J1569	$167 [source]	4 years ago
Northern Light Maine Coast Hospital	50 Union St, Ellsworth	J1569	$192 [source]	4 years ago
Northern Light A.r. Gould Hospital	140 Academy St, Presque Isle	J1569	$194 [source]	4 years ago
Northern Light Blue Hill Hospital	57 Water Street, Blue Hill	J1569	$195 [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.