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
Michigan
Hospital Address Code Price Last Updated
St. John Providence 28000 Dequindre Rd, Warren J1451 $19 [source] 4 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester J1451 $20 [source] 4 years ago
Midmichigan Medical Center Gratiot 300 E Warwick Dr, Alma J1451 $21 [source] 4 years ago
Up Health System – Marquette 580 West College Avenue, Marquette J1451 $24 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield J1451 $32 [source] 4 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren J1451 $36 [source] 4 years ago
Karmanos Cancer Institute 4100 John R St, Detroit J1451 $63 [source] 4 years ago
Dmc Children's Hospital Of Michigan 3901 Beaubien Blvd., Detroit J1451 $72 [source] 4 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak J1451 $533 [source] 4 years ago
William Beaumont Hospital 10000 Telegraph Rd, Taylor J1451 $533 [source] 4 years ago
Mclaren Central Michigan 1221 South Dr, Mount Pleasant J1451 $635 [source] 4 years ago
William Beaumont Hospital 468 Cadieux Rd, Grosse Pointe J1451 $972 [source] 4 years ago
Beaumont - Farmington Hills 28050 Grand River Ave, Farmington J1451 $972 [source] 4 years ago
William Beaumont Hospital 5450 Fort St, Trenton J1451 $2,329 [source] 4 years ago
Midmichigan Medical Center Gladwin , Gladwin J1451 $2,475 [source] 4 years ago
Mclaren Thumb Region 1100 S Van Dyke Rd, Bad Axe J1451 $3,719 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy J1451 $5,439 [source] 4 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy J1451 $5,439 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre, Troy J1451 $5,439 [source] 4 years ago
Beaumont Wayne 33155 Annapolis St, Wayne J1451 $6,081 [source] 4 years ago
Oakwood Healthcare Inc Beaumont Service Center, J1451 $6,081 [source] 4 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn J1451 $10,878 [source] 4 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn J1451 $10,878 [source] 4 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn J1451 $10,878 [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 §180.