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
Wisconsin
Hospital Address Code Price Last Updated
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee J1455 $11 [source] 4 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton J1455 $110 [source] 4 years ago
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin J1455 $177 [source] 4 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette J1455 $282 [source] 4 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee J1455 $334 [source] 4 years ago
Aurora Medical Center Of Manitowoc County 5000 Memorial Dr, Two Rivers J1455 $334 [source] 4 years ago
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy J1455 $337 [source] 4 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee J1455 $338 [source] 4 years ago
Aurora West Allis Medical Center 8901 W Lincoln Ave, Milwaukee J1455 $339 [source] 4 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay J1455 $347 [source] 4 years ago
Aurora Sheboygan Memorial Medical Center 2629 N 7Th St, Sheboygan J1455 $365 [source] 4 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh J1455 $409 [source] 4 years ago
Aurora Lakeland Medical Center W3930 County Road Nn, Elkhorn J1455 $473 [source] 4 years ago
Aurora Medical Center Burlington 252 Mchenry St, Burlington J1455 $475 [source] 4 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton J1455 $492 [source] 4 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc J1455 $499 [source] 4 years ago
Aurora Medical Center Kenosha 10400 75Th St, Kenosha J1455 $521 [source] 4 years ago
Aurora Medical Center Of Washington County 1032 E Sumner St, Hartford J1455 $648 [source] 4 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand J1455 $652 [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.