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
Maine
Hospital Address Code Price Last Updated
Sebasticook Valley Health 447 N Main St, Pittsfield J1451 $11 [source] 4 years ago
Charles A Dean Memorial Hospital 364 Pritham Ave, Greenville J1451 $12 [source] 4 years ago
Eastern Maine Medical Center 489 State St, Bangor J1451 $13 [source] 4 years ago
Mercy Hospital 144 State St, Portland J1451 $24 [source] 4 years ago
Northern Light Blue Hill Hospital 57 Water Street, Blue Hill J1451 $25 [source] 4 years ago
Northern Light A.r. Gould Hospital 140 Academy St, Presque Isle J1451 $32 [source] 4 years ago
Eastern Maine Healthcare Systems Inland Hospital 200 Kennedy Memorial Dr, Waterville J1451 $71 [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.