NDC 64208823402

IMMUNE GLOBULIN,GAMMA(IGG) 5%(GAMMAPLEX) IV SOLUTION

Reported by 6 hospitals in the network under the fee schedule methodology.

Filter by billing methodology

All methodologiesCase rateFee schedulePer diemPercent of billed chargesOther

Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$82

Average

$100

Median

$104

High

$114

Hospitals reporting this code

#	Hospital	Location
1	UPMC Lititz	Lititz, PA	$1	$69	$114	$387	$86
2	UPMC Memorial	York, PA	$2	$70	$106	$387	$83
3	UPMC Hanover	Hanover, PA	$2	$68	$104	$387	$84
4	UPMC Carlisle	Carlisle, PA	$1	$68	$103	$387	$78
5	UPMC Pinnacle Hospitals	Harrisburg, PA	$2	$69	$89	$175	$36
6	UPMC Somerset	Somerset, PA	$3	$64	$82	$214	$40

Look up this code directly

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