Code: 67028

Description:
HC INTRAVITREAL NJX PHARMACOLOGIC AGT SPX
Other Descriptions:
INTRAVITREAL NJX PHARMACOLOGIC AGT SPX
Injection eye drug
HB INTRAVITREAL NJX PHARM AGT BIL
HB INTRAVITREAL NJX PHARMACOLOGIC AGT SPX
Inject Intravitreal Pharmcologic
Inj Pharma Agent
Related codes:
Code: 67025
HC NJX VTS SUB PARS PLNA/LIMBAL SPX
Code: 67027
Implant eye drug system
Wisconsin
Hospital Address Code Price Last Updated
Beloit Memorial Hospital 1969 W Hart Rd, Beloit 67028 $112 [source] 3 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton 67028 $304 [source] 3 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand 67028 $461 [source] 3 years ago
Watertown Regional Medical Center 125 Hospital Drive, Watertown 67028 $531 [source] 3 years ago
Aspirus Divine Savior Hospital 2817 New Pinery Rd, Portage 67028 $597 [source] 3 years ago
River Falls Area Hospital , River Falls 67028 $614 [source] 3 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette 67028 $925 [source] 3 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay 67028 $925 [source] 3 years ago
Aurora Lakeland Medical Center W3930 County Road Nn, Elkhorn 67028 $925 [source] 3 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee 67028 $949 [source] 3 years ago
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff 67028 $987 [source] 3 years ago
Ascension Sacred Heart Rehabilitation Hospital 2323 N Lake Dr, Milwaukee 67028 $1,093 [source] 3 years ago
Ascension St Francis Hospital 3237 S 16Th St, Milwaukee 67028 $1,265 [source] 3 years ago
Ascension Se Wisconsin Hospital-St Joseph Campus 5000 W Chambers St, Milwaukee 67028 $1,265 [source] 3 years ago
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin 67028 $1,265 [source] 3 years ago
Ascension All Saints Hospital 1320 Wisconsin Ave, Racine 67028 $1,265 [source] 3 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.