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
Georgia
Hospital Address Code Price Last Updated
Emory University Hospital Decatur 2165 N Decatur Rd , Decatur J1451 $26 [source] 4 years ago
Memorial Health 4700 Waters Avenue, Savannah J1451 $63 [source] 4 years ago
Emory University Hospital 1364 Clifton Rd Ne, Atlanta J1451 $75 [source] 4 years ago
Cartersville Medical Center 960 Joe Frank Harris Pkwy, Cartersville J1451 $1,526 [source] 4 years ago
Fairview Park Hospital 200 Industrial Boulevard, Dublin J1451 $2,895 [source] 4 years ago
Eastside Medical Center 1700 Medical Way, Snellville J1451 $3,210 [source] 4 years ago
Doctors Hospital Of Augusta 3651 Wheeler Rd, Augusta J1451 $5,020 [source] 4 years ago
Memorial Satilla Health 1900 Tebeau St, Waycross J1451 $5,857 [source] 4 years ago
Adventist Health System Georgia, Inc 170 Curtis Pkwy Ne, Calhoun J1451 $7,012 [source] 4 years ago
Adventist Health System Georgia Inc 1035 Red Bud Rd Ne, Calhoun J1451 $7,012 [source] 4 years ago
Redmond Regional Medical Center 501 Redmond Rd, Rome J1451 $7,913 [source] 4 years ago
Coliseum Health System 350 Hospital Dr, Macon J1451 $8,240 [source] 4 years ago
Murray Medical Center, Inc. 707 Old Dalton Ellijay Rd, Chatsworth J1451 $14,640 [source] 4 years ago
Murray Medical Center, Inc. 104 Hospital Dr, Chatsworth J1451 $14,640 [source] 4 years ago
Adventhealth Gordon 105 Willowbrook Way Se, Calhoun J1451 $14,640 [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.