Code: J9266

Description:
Description: Injection, pegaspargase, per single dose vial
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Other Descriptions:
PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION
PEGASPARGASE 750UNIT/ML 5ML VL
INJECTION PEGASPARGASE PER SINGLE DOSE VIAL
PEGASPARGASE 750 UNITS
Oncaspar 3750 Unit/5 Ml Vial
Related codes:
Code: J9260
METHOTREXATE 200 MG INJ
Code: J9261
NELARABINE 250 MG INJ
Code: J9262
OMACTXINE MEP 0.01MG INJ
Code: J9263
OXALIPLATIN 50 MG INJ
Code: J9264
ABRAXANE 100 MG INJ
Code: J9265
PACLITAXEL 30 MG/5ML VL
Code: J9267
PACLITAXEL 1 MG INJ
Code: J9268
PENTOSTATIN 10 MG INJ
Code: J9269
TAGRAXF-ERZS 1000MCG INJ
Michigan
Hospital Address Code Price Last Updated
William Beaumont Hospital 468 Cadieux Rd, Grosse Pointe J9266 $1,312 [source] 4 years ago
Beaumont - Farmington Hills 28050 Grand River Ave, Farmington J9266 $1,312 [source] 4 years ago
Up Health System – Marquette 580 West College Avenue, Marquette J9266 $3,478 [source] 4 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak J9266 $19,718 [source] 4 years ago
William Beaumont Hospital 10000 Telegraph Rd, Taylor J9266 $19,718 [source] 4 years ago
Dmc Children's Hospital Of Michigan 3901 Beaubien Blvd., Detroit J9266 $24,734 [source] 4 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester J9266 $28,251 [source] 4 years ago
St. John Providence 28000 Dequindre Rd, Warren J9266 $29,415 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield J9266 $51,158 [source] 4 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren J9266 $57,395 [source] 4 years ago
Karmanos Cancer Institute 4100 John R St, Detroit J9266 $71,511 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy J9266 $82,038 [source] 4 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy J9266 $82,038 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre, Troy J9266 $82,038 [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.