Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Generation details were not recorded for this description.
Original text from hospital filings
GAMMAGARD LIQUID 10% ORAL SOLUTION
Low
$40
Average
$1.6k
Median
$1.2k
High
$9.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 47.1× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Caresource fee schedule · outpatient · +18 other terms | 101 | $58 | $340 | $1.6k | 457% | 12,730 | $1 – $14.6k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +31 other terms | 443 | $81 | $1.3k | $4.2k | 317% | 17–71 | $0 – $29.2k |
| 3 | UnitedHealthcare fee schedule · outpatient · +32 other terms | 713 | $77 | $784 | $3.6k | 465% | 3–30 | $1 – $39.4k |
| 4 | Aetna fee schedule · outpatient · +29 other terms | 466 | $68 | $681 | $3.0k | 444% | — | $0 – $68.4k |
| 5 | Cigna fee schedule · outpatient · +26 other terms | 427 | $70 | $369 | $1.5k | 402% | — | $0 – $26.3k |
| 6 | Humana fee schedule · outpatient · +28 other terms | 401 | $48 | $566 | $1.9k | 334% | — | $1 – $15.3k |
| 7 | Anthem fee schedule · outpatient · +25 other terms | 170 | $68 | $151 | $703 | 464% | — | $43 – $14.6k |
| 8 | Molina fee schedule · outpatient · +26 other terms | 159 | $68 | $541 | $925 | 171% | — | $0 – $6.9k |
| 9 | WellCare fee schedule · outpatient · +18 other terms | 147 | $49 | $402 | $1.7k | 417% | — | $42 – $14.6k |
| 10 | Ambetter facility · fee schedule · outpatient · +19 other terms | 92 | $88 | $458 | $2.6k | 566% | — | $45 – $34.5k |
| 11 | Kaiser fee schedule · outpatient · +21 other terms | 81 | $74 | $575 | $2.1k | 369% | — | $1 – $23.3k |
| 12 | MultiPlan fee schedule · outpatient · +19 other terms | 74 | $3.2k | $4.7k | $5.6k | 119% | — | $1 – $36.8k |
| 13 | Devoted fee schedule · outpatient · +15 other terms | 62 | $47 | $107 | $761 | 711% | — | $41 – $9.6k |
| 14 | Medica fee schedule · outpatient · +20 other terms | 60 | $73 | $939 | $2.5k | 269% | — | $4 – $17.6k |
| 15 | Highmark facility · fee schedule · outpatient · +17 other terms | 59 | $82 | $201 | $374 | 186% | — | $43 – $5.7k |
| 16 | Wellmark facility · fee schedule · both · +16 other terms | 42 | $1.6k | $1.7k | $1.4k | 84% | — | $96 – $10.5k |
| 17 | Carefirst facility · fee schedule · both · +10 other terms | 41 | $1.6k | $1.6k | $1.3k | 83% | — | $96 – $10.0k |
| 18 | Excellus facility · fee schedule · both · +8 other terms | 41 | $1.6k | $1.6k | $1.3k | 81% | — | $96 – $10.0k |
| 19 | Optum fee schedule · outpatient · +19 other terms | 41 | $46 | $673 | $1.1k | 157% | — | $1 – $6.1k |
| 20 | Oscar facility · fee schedule · outpatient · +17 other terms | 41 | $60 | $62 | $22 | 36% | — | $47 – $108 |
| 21 | Premera facility · fee schedule · both · +9 other terms | 41 | $1.6k | $1.6k | $1.3k | 83% | — | $96 – $10.0k |
| 22 | Regence facility · fee schedule · both · +18 other terms | 41 | $1.6k | $1.6k | $1.3k | 84% | — | $96 – $10.0k |
| 23 | Amerihealth Caritas facility · fee schedule · outpatient · +16 other terms | 39 | $47 | $204 | $708 | 346% | — | $45 – $6.4k |
| 24 | Medicare fee schedule · outpatient · +14 other terms | 36 | $45 | $456 | $2.0k | 433% | — | $1 – $14.2k |
| 25 | Tricare facility · fee schedule · outpatient · +17 other terms | 33 | $47 | $4.4k | $6.0k | 136% | — | $45 – $21.1k |
← Hospitals reporting HCPCS J1569 · Snapshot 20261111T120946Z-9134e7f7