J1572
CPT/HCPCSInjection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg
Physician Fee Schedule
Office
Medicare Payment
$34.64
Submitted Charge$120.43
Medicare Allowed$43.10
Providers24
Beneficiaries17
Total Services5,720