Code: A9581

Description:
Description: Injection, gadoxetate disodium, 1 ml
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
GADOXETATE 1 ML INJ
HC EOVIST BAYER NDC=50419032005 PKG=10ML, PER 1 ML
GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION
GADOBUTROL 15 MMOL/15 ML VIAL
GADOBUTROL 10 MMOL/10 ML VIAL
GADOBUTROL 7.5 MMOL/7.5 ML VL
GADOBUTROL 2 MMOL/2 ML VIAL
INJ GADOXETATE DISODIUM 1ML
Inj Eovist Gadoxetate Disodium, Per 1ml
Related codes:
Code: A9580
Description: Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A9582
Description: Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A9583
Description: Injection, gadofosveset trisodium, 1 ml
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A9584
Description: Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A9585
Description: Injection, gadobutrol, 0.1 ml
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A9586
Description: Florbetapir f18, diagnostic, per study dose, up to 10 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A9587
Description: Gallium ga-68, dotatate, diagnostic, 0.1 millicurie
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A9588
Description: Fluciclovine f-18, diagnostic, 1 millicurie
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A9589
Description: Instillation, hexaminolevulinate hydrochloride, 100 mg
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Nebraska
Hospital Address Code Price Last Updated
Chi Health St. Elizabeth 555 S. 70Th St., Lincoln A9581 $65 [source] 4 years ago
Chi Health Good Samaritan 10 E 31St St, Kearney A9581 $65 [source] 4 years ago
Chi Health Lakeside 17201 Wright St, Omaha A9581 $65 [source] 4 years ago
Chi Health Schuyler 1721 Colfax St, Schuyler A9581 $65 [source] 4 years ago
Chi Health Midlands 11111 S 84Th St, Papillion A9581 $65 [source] 4 years ago
Chi Health Plainview 704 N 3Rd St, Plainview A9581 $65 [source] 4 years ago
Chi Health St. Mary 1301 Grundman Blvd, Nebraska City A9581 $65 [source] 4 years ago
Chi Health Creighton University Medical Center - Bergan Mercy 7500 Mercy Rd, Omaha A9581 $65 [source] 4 years ago
Chi Health Immanuel 7101 Newport Ave, Omaha A9581 $65 [source] 4 years ago
Chi Health St. Francis 2116 W Faidley Ave, Grand Island A9581 $65 [source] 4 years ago
Chi Health Nebraska Heart 7500 So. 91St St., Lincoln A9581 $65 [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.