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
Wisconsin
Hospital Address Code Price Last Updated
Ascension Calumet Hospital 614 Memorial Dr, Chilton J9266 $21,086 [source] 4 years ago
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin J9266 $37,769 [source] 4 years ago
Aurora Sheboygan Memorial Medical Center 2629 N 7Th St, Sheboygan J9266 $51,479 [source] 4 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay J9266 $52,710 [source] 4 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand J9266 $52,715 [source] 4 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee J9266 $53,593 [source] 4 years ago
Aurora Medical Center Of Manitowoc County 5000 Memorial Dr, Two Rivers J9266 $53,851 [source] 4 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee J9266 $55,556 [source] 4 years ago
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy J9266 $55,927 [source] 4 years ago
Aurora West Allis Medical Center 8901 W Lincoln Ave, Milwaukee J9266 $55,929 [source] 4 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee J9266 $56,094 [source] 4 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette J9266 $58,253 [source] 4 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh J9266 $62,159 [source] 4 years ago
Aurora Lakeland Medical Center W3930 County Road Nn, Elkhorn J9266 $76,099 [source] 4 years ago
Aurora Medical Center Burlington 252 Mchenry St, Burlington J9266 $76,341 [source] 4 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton J9266 $77,569 [source] 4 years ago
Aurora Medical Center Kenosha 10400 75Th St, Kenosha J9266 $81,361 [source] 4 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc J9266 $82,258 [source] 4 years ago
Aurora Medical Center Of Washington County 1032 E Sumner St, Hartford J9266 $99,514 [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.