Code: A9528

Description:

Description: Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental

Other Descriptions:

RP IODINE 131 MCI DX

HC RP IODINE 131 MCI DX

IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI

HC NM I 131 CARDINAL CAP DIAG WB EA ADDL MCI>6

HC NM I 131 CARDINAL CAP DIAG WB PER MCI UP TO 6 MCI

HC NM I 131 TRIAD CAP DIAG WB 1ST MCI

HC NM I 131 TRIAD CAP DIAG WB EA ADDL MCI>1

RX DX I+AC0-131 Iodine Cap per Mci

I131 Dx Capsl /mci

Related codes:

Code: A9520

Description: Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental

Code: A9521

Description: Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental

Code: A9522

INDIUM111IBRITUMOMABTIUXETAN

Code: A9523

YTTRIUM90IBRITUMOMABTIUXETAN

Code: A9524

Description: Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental

Code: A9526

Description: Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental

Code: A9527

Description: Iodine i-125, sodium iodide solution, therapeutic, per millicurie
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental

Code: A9529

Description: Iodine i-131 sodium iodide solution, diagnostic, per millicurie
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental

Missouri

Hospital	Address	Code	Price	Last Updated
Saint Luke’s North Hospital	5830 Nw Barry Rd, Kansas City	A9528	$55 [source]	4 years ago
Saint Luke’s East Hospital	100 Ne Saint Luke's Blvd, Lees Summit	A9528	$88 [source]	4 years ago
Hedrick Medical Center	2799 N Washington St, Chillicothe	A9528	$108 [source]	4 years ago
Centerpoint Medical Center	19600 East 39Th Street, Independence	A9528	$332 [source]	4 years ago
Saint Luke’s Hospital	4401 Wornall Rd, Kansas City	A9528	$524 [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.