Code: J1455

Description:
Description: Injection, foscarnet sodium, per 1000 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Other Descriptions:
FOSCARNET 1000 MG INJ
FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION
FOSCARNET SODIUM 24MG/ML 250ML
INJECTION FOSCARNET SODIUM PER 1000 MG
FOSCARNET 24MG/ML 500ML
Foscarnet 24 Mg/Ml 250 Ml Vial
FOSCARNET 1000 MG INJJW
Related codes:
Code: J1450
FLUCONAZOLE 200 MG VL
Code: J1451
FOMEPIZOLE 1500 MG INJ
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: J1457
GALLIUM NITRATE 1 MG INJ
Code: J1458
GALSULFASE 5 MG INJ
Code: J1459
IVIG PRIVIGEN 10G/100ML
Illinois
Hospital Address Code Price Last Updated
Adventist Bolingbrook Hospital 500 Remington Blvd, Bolingbrook J1455 $17 [source] 4 years ago
Presence St. Mary's Hospital 500 W Court St, Kankakee J1455 $22 [source] 4 years ago
Alexian Brothers Medical Center 935 Beisner Rd, Elk Grove Village J1455 $30 [source] 4 years ago
Adventist Hinsdale Hospital 120 N Oak St, Hinsdale J1455 $30 [source] 4 years ago
Adventist Lagrange Memorial Hospital 5101 Willow Springs Rd, La Grange J1455 $31 [source] 4 years ago
Adventist Glenoaks Hospital 701 Winthrop Ave, Glendale Heights J1455 $31 [source] 4 years ago
St. Alexius Medical Center 1555 Barrington Road, J1455 $31 [source] 4 years ago
Franciscan Health Olympia Fields , Olympia Fields J1455 $1,087 [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.