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
Michigan
Hospital Address Code Price Last Updated
Beaumont - Farmington Hills 28050 Grand River Ave, Farmington J1455 $53 [source] 4 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak J1455 $53 [source] 4 years ago
William Beaumont Hospital 10000 Telegraph Rd, Taylor J1455 $53 [source] 4 years ago
Karmanos Cancer Institute 4100 John R St, Detroit J1455 $94 [source] 4 years ago
St. John Providence 28000 Dequindre Rd, Warren J1455 $119 [source] 4 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester J1455 $141 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield J1455 $207 [source] 4 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren J1455 $232 [source] 4 years ago
Up Health System – Marquette 580 West College Avenue, Marquette J1455 $233 [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.