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
Kansas
Hospital Address Code Price Last Updated
Ascension Via Christi Hospital Manhattan, Inc. 1823 College Ave, Manhattan J1451 $6 [source] 4 years ago
Mt. Carmel Regional Medical Center, Inc. 1 Mt Carmel Way, Pittsburg J1451 $15 [source] 4 years ago
Menorah Medical Center 5721 W. 119Th Street, Shawnee Mission J1451 $1,991 [source] 4 years ago
Overland Park Regional Medical Center 10500 Quivira Road, Shawnee Mission J1451 $1,991 [source] 4 years ago
Western Plains Medical Complex 3001 Avenue A, Dodge City J1451 $2,011 [source] 4 years ago
Adventhealth Ransom Memorial, Inc. 1301 S Main St , Ottawa J1451 $6,479 [source] 4 years ago
Ascension Via Christi Rehabilitation Hospital, Inc. 1151 N Rock Rd, Wichita J1451 $8,133 [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.