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
Indiana
Hospital Address Code Price Last Updated
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville J1455 $13 [source] 4 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis J1455 $13 [source] 4 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon J1455 $13 [source] 4 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville J1455 $13 [source] 4 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport J1455 $13 [source] 4 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem J1455 $13 [source] 4 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood J1455 $13 [source] 4 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford J1455 $13 [source] 4 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester J1455 $13 [source] 4 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel J1455 $13 [source] 4 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson J1455 $13 [source] 4 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis J1455 $13 [source] 4 years ago
Franciscan Health Hammond , Hammond J1455 $2,069 [source] 4 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil J1455 $6,012 [source] 4 years ago
Ascension St Vincent Fishers 13861 Olio Road, J1455 $6,012 [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.