Code: J1458

Description:
Description: Injection, galsulfase, 1 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Other Descriptions:
GALSULFASE 1 MG
GALSULFASE 5 MG/5 ML INTRAVENOUS SOLUTION
INJECTION GALSULFASE 1 MG
Galsulfase injection
GALSULFASE 1 MGJW
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: J1455
FOSCARNET 6000 MG BAG
Code: J1457
GALLIUM NITRATE 1 MG INJ
Code: J1459
IVIG PRIVIGEN 10G/100ML
Illinois
Hospital Address Code Price Last Updated
Adventist Bolingbrook Hospital 500 Remington Blvd, Bolingbrook J1458 $440 [source] 4 years ago
Presence St. Mary's Hospital 500 W Court St, Kankakee J1458 $585 [source] 4 years ago
Alexian Brothers Medical Center 935 Beisner Rd, Elk Grove Village J1458 $768 [source] 4 years ago
Adventist Hinsdale Hospital 120 N Oak St, Hinsdale J1458 $788 [source] 4 years ago
Adventist Lagrange Memorial Hospital 5101 Willow Springs Rd, La Grange J1458 $795 [source] 4 years ago
Adventist Glenoaks Hospital 701 Winthrop Ave, Glendale Heights J1458 $795 [source] 4 years ago
St. Alexius Medical Center 1555 Barrington Road, J1458 $798 [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.