HCPCS J2504
Injection, pegademase bovine, 25 iu
Retired codeInjection - Enzymes25 hospitals with prices
This code is retired. Some hospitals still list it.
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $185 – $7,359 | — | — |
| Deaconess Medical Center | $921 | — | — |
| Harborview Medical Center | $330 | — | — |
| Kadlec Regional Medical Center | $464 – $3,326 | — | — |
| Legacy Salmon Creek Medical Center | $348 – $2,208 | — | — |
| Mary Bridge Children's Hospital | $473 – $2,734 | — | — |
| MultiCare Auburn Medical Center | $174 – $7,241 | — | — |
| MultiCare Covington Medical Center | $174 – $7,241 | — | — |
| MultiCare Good Samaritan Hospital | $2,553 – $7,241 | — | — |
| MultiCare Valley Hospital | $286 – $921 | — | — |
| Overlake Hospital Medical Center & Clinics | $684 – $10,862 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $708 – $3,385 | — | — |
| Providence Centralia Hospital | $464 – $4,254 | — | — |
| Providence Holy Family Hospital | $708 | — | — |
| Providence Regional Medical Center Everett | $708 – $3,459 | — | — |
| Providence St Mary Medical Center | $708 | — | — |
| Providence St Peter Hospital | $736 – $4,563 | — | — |
| Swedish Edmonds Hospital | $3,164 – $3,371 | — | — |
| Swedish Issaquah | $4,062 – $4,268 | — | — |
| Swedish Medical Center | $4,062 – $4,268 | — | — |
| Swedish Medical Center / Cherry Hill | $2,944 – $3,164 | — | — |
| Tacoma General Allenmore Hospital | $174 – $5,359 | — | — |
| University of Washington Medical Ctr | $330 – $607 | — | — |
| Virginia Mason Medical Center | $889 – $1,305 | — | — |
| Yakima Valley Memorial | $207 – $5,446 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.