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
Idaho
Hospital Address Code Price Last Updated
Kootenai Health 2003 Kootenai Health Way, Coeur D Alene J1451 $24 [source] 4 years ago
Bonner General Hospital 520 N 3Rd Ave, Sandpoint J1451 $3,666 [source] 4 years ago
Minidoka Medical Center 1308 8Th St, Suite 1, Rupert J1451 $4,509 [source] 4 years ago
West Valley Medical Center 1717 Arlington Ave., Caldwell J1451 $4,753 [source] 4 years ago
Eastern Idaho Regional Medical Center 3100 Channing Way, Idaho Falls J1451 $6,448 [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.