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
Wisconsin
Hospital Address Code Price Last Updated
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff J1451 $14 [source] 4 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton J1451 $15 [source] 4 years ago
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin J1451 $18 [source] 4 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee J1451 $20 [source] 4 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette J1451 $27 [source] 4 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay J1451 $51 [source] 4 years ago
Aurora Medical Center Of Manitowoc County 5000 Memorial Dr, Two Rivers J1451 $52 [source] 4 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc J1451 $66 [source] 4 years ago
Aurora West Allis Medical Center 8901 W Lincoln Ave, Milwaukee J1451 $69 [source] 4 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton J1451 $69 [source] 4 years ago
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy J1451 $72 [source] 4 years ago
Aurora Lakeland Medical Center W3930 County Road Nn, Elkhorn J1451 $79 [source] 4 years ago
Aurora Medical Center Burlington 252 Mchenry St, Burlington J1451 $79 [source] 4 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh J1451 $81 [source] 4 years ago
Aurora Sheboygan Memorial Medical Center 2629 N 7Th St, Sheboygan J1451 $89 [source] 4 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee J1451 $90 [source] 4 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee J1451 $91 [source] 4 years ago
Aurora Medical Center Kenosha 10400 75Th St, Kenosha J1451 $91 [source] 4 years ago
Aurora Medical Center Of Washington County 1032 E Sumner St, Hartford J1451 $124 [source] 4 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand J1451 $868 [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.