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
Ohio
Hospital Address Code Price Last Updated
Lutheran Hospital 1730 West 25Th Street, Cleveland J1569 $3,856 [source] 4 years ago
Cleveland Clinic Main Campus 9500 Euclid Ave, Cleveland J1569 $4,288 [source] 4 years ago
Akron General Lodi Hospital 225 Elyria St., Lodi J1569 $5,141 [source] 4 years ago
Akron General 1 Akron General Ave., Akron J1569 $5,141 [source] 4 years ago
Euclid Hospital 18901 Lakeshore Blvd., Cleveland J1569 $5,998 [source] 4 years ago
South Pointe Hospital 20000 Harvard Rd., Cleveland J1569 $5,998 [source] 4 years ago
Hillcrest Hospital 6780 Mayfield Rd., Cleveland J1569 $6,940 [source] 4 years ago
Medina Hospital 1000 E. Washington St., Medina J1569 $8,354 [source] 4 years ago
Marymount Hospital 12300 Mccracken Road, Cleveland J1569 $8,354 [source] 4 years ago
Fairview Hospital 18101 Lorain Ave., Cleveland J1569 $10,281 [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.