Code: Q2009

Description:
Description: Injection, fosphenytoin, 50 mg phenytoin equivalent
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
FOSPHEN PE 50 MG INJ
FOSPHEN PE 25 MG/ML INJ
FOSPHEN PE 100 MG INJ
FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION
FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION
FOSPHENYTOIN SOD 500MG/10ML VIAL
FOSPHENYTOIN SODIUM PER 50 MG
FOSPHENYTOIN 50MG PE/ML 10ML
FOSPHENYTOIN SODIUM 100 MG PE/2ML IJ SOLN
Related codes:
Code: Q2004
BLADDER CALC 500ML IRR
Code: Q2006
DIGOXIN IMMUNE FAB (OVINE)
Code: Q2007
ETHANOLAMINE OLEATE 100 MG
Wisconsin
Hospital Address Code Price Last Updated
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin Q2009 $4 [source] 4 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee Q2009 $4 [source] 4 years ago
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff Q2009 $6 [source] 4 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton Q2009 $7 [source] 4 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette Q2009 $36 [source] 4 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay Q2009 $39 [source] 4 years ago
Aurora Medical Center Of Manitowoc County 5000 Memorial Dr, Two Rivers Q2009 $40 [source] 4 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc Q2009 $46 [source] 4 years ago
Aurora West Allis Medical Center 8901 W Lincoln Ave, Milwaukee Q2009 $49 [source] 4 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton Q2009 $51 [source] 4 years ago
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy Q2009 $57 [source] 4 years ago
Aurora Lakeland Medical Center W3930 County Road Nn, Elkhorn Q2009 $61 [source] 4 years ago
Aurora Medical Center Burlington 252 Mchenry St, Burlington Q2009 $61 [source] 4 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh Q2009 $67 [source] 4 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee Q2009 $67 [source] 4 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee Q2009 $68 [source] 4 years ago
Aurora Medical Center Kenosha 10400 75Th St, Kenosha Q2009 $72 [source] 4 years ago
Aurora Sheboygan Memorial Medical Center 2629 N 7Th St, Sheboygan Q2009 $76 [source] 4 years ago
Aurora Medical Center Of Washington County 1032 E Sumner St, Hartford Q2009 $100 [source] 4 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand Q2009 $144 [source] 4 years ago
Watertown Regional Medical Center 125 Hospital Drive, Watertown Q2009 $512 [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.