Code: J1451

Description:
Description: Injection, fomepizole, 15 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Other Descriptions:
FOMEPIZOLE 15 MG INJ
FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION
FOMEPIZOLE 1GM/ML 1.5ML VL
INJECTION FOMEPIZOLE 15 MG
Fomepizole 1.5 Gram/1.5 Ml Vl
FOMEPIZOLE 15 MG INJJW
Related codes:
Code: J1450
FLUCONAZOLE 200 MG VL
Code: J1452
Description: Injection, fomivirsen sodium, intraocular, 1.65 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Code: J1453
FOSAPREPITANT 150 MG INJ
Code: J1454
Description: Injection, fosnetupitant 235 mg and palonosetron 0.25 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Code: J1455
FOSCARNET 6000 MG BAG
Code: J1457
GALLIUM NITRATE 1 MG INJ
Code: J1458
GALSULFASE 5 MG INJ
Code: J1459
IVIG PRIVIGEN 10G/100ML
State Average # Hospitals In Database
New Mexico (NM) $7 2
New York (NY) $11 1
South Dakota (SD) $12 1
Tennessee (TN) $15 7
Maine (ME) $27 7
Minnesota (MN) $32 1
North Dakota (ND) $47 2
Alaska (AK) $64 2
Arizona (AZ) $81 2
Wyoming (WY) $94 2
Wisconsin (WI) $140 21
Pennsylvania (PA) $229 1
Illinois (IL) $271 8
Maryland (MD) $343 7
New Jersey (NJ) $449 2
West Virginia (WV) $556 4
Connecticut (CT) $686 5
Kentucky (KY) $1,078 5
Hawaii (HI) $1,125 3
District of Columbia (DC) $1,199 1
Vermont (VT) $1,403 1
Indiana (IN) $1,894 27
Missouri (MO) $1,991 6
Virginia (VA) $2,149 5
Colorado (CO) $2,468 3
Kansas (KS) $2,734 9
Oklahoma (OK) $2,958 2
Michigan (MI) $3,325 38
Massachusetts (MA) $3,332 7
Utah (UT) $3,669 3
California (CA) $3,979 34
Alabama (AL) $4,079 1
Idaho (ID) $4,372 7
New Hampshire (NH) $4,445 5
North Carolina (NC) $5,109 15
Ohio (OH) $5,390 10
South Carolina (SC) $5,742 5
Georgia (GA) $6,245 21
Texas (TX) $7,377 54
Florida (FL) $7,628 99
Nevada (NV) $12,898 17
Louisiana (LA) $18,340 3
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.