Code: J7517

Description:
Description: Mycophenolate mofetil, oral, 250 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Other Descriptions:
MYCOPHENOLATE 200 MG PO
MYCOPHENOLATE MOFETIL 250 MG CAPSULE
MYCOPHENOLATE MOFETIL 200 MG/ML ORAL SUSPENSION
MYCOPHENOLATE MOFETIL 500 MG TABLET
MYCOPHENOLATE MOFETIL ORAL LIQUID 250 MG/1.25 ML ADS
MYCOPHENOLATE MOFETIL ORAL LIQUID 500 MG/2.5 ML ADS
MYCOPHENOLATE MOFETIL1000
MYCOPHENLT MOFETL 250M OR
MYCOPHENOLATE 500MG TAB
Related codes:
Code: J7510
PREDNISOLONE 5MG/5ML LIQ
Code: J7511
LYMPH IG RABIT 25MG INJ
Code: J7512
PREDNISONE 10 MG PO
Code: J7513
DACLIZUMAB 25 MG INJ
Code: J7515
CYCLOSP MOD 25 MG PO
Code: J7516
CYCLOSPORIN 250 MG INJ
Code: J7518
MYCOPHENOLIC 180 MG PO
State Average # Hospitals In Database
Minnesota (MN) $5 7
Maine (ME) $7 2
North Dakota (ND) $7 3
Oklahoma (OK) $9 3
District of Columbia (DC) $9 1
Missouri (MO) $12 8
New Jersey (NJ) $13 2
Vermont (VT) $16 1
Tennessee (TN) $17 7
Delaware (DE) $17 1
West Virginia (WV) $18 2
Utah (UT) $18 1
South Dakota (SD) $19 1
Wyoming (WY) $20 2
Colorado (CO) $23 1
Kansas (KS) $25 8
Nebraska (NE) $30 11
Iowa (IA) $30 3
New Mexico (NM) $30 2
South Carolina (SC) $32 7
Arizona (AZ) $34 4
Alabama (AL) $37 3
Connecticut (CT) $39 7
Wisconsin (WI) $40 21
Kentucky (KY) $41 10
Alaska (AK) $41 2
Ohio (OH) $49 10
Idaho (ID) $50 5
Virginia (VA) $51 5
Michigan (MI) $55 129
Georgia (GA) $70 21
Hawaii (HI) $75 1
Texas (TX) $117 37
Louisiana (LA) $146 3
Pennsylvania (PA) $235 5
California (CA) $304 37
Massachusetts (MA) $569 7
Florida (FL) $580 113
Maryland (MD) $852 2
Nevada (NV) $959 16
Indiana (IN) $1,207 10
North Carolina (NC) $1,576 28
New Hampshire (NH) $2,145 5

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.