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
Indiana
Hospital Address Code Price Last Updated
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville J1451 $26 [source] 4 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis J1451 $26 [source] 4 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon J1451 $26 [source] 4 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville J1451 $26 [source] 4 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport J1451 $26 [source] 4 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem J1451 $26 [source] 4 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood J1451 $26 [source] 4 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford J1451 $26 [source] 4 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester J1451 $26 [source] 4 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel J1451 $26 [source] 4 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson J1451 $26 [source] 4 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis J1451 $26 [source] 4 years ago
Terre Haute Regional Hospital 3901 S 7Th St, Terre Haute J1451 $1,862 [source] 4 years ago
Franciscan Health Crown Point , Crown Point J1451 $5,649 [source] 4 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil J1451 $6,012 [source] 4 years ago
Ascension St Vincent Fishers 13861 Olio Road, J1451 $6,012 [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.