Code: A9582

Description:
Description: Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI
IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI
I-123 MIBG DX/STUDY DOSE
I-123 Mibg Dose Up To 15mci
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: A9581
Description: Injection, gadoxetate disodium, 1 ml
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
State Average # Hospitals In Database
Illinois (IL) $2,515 1
Minnesota (MN) $2,575 17
Alabama (AL) $3,385 1
Maine (ME) $3,506 1
New Jersey (NJ) $3,674 1
Washington (WA) $3,728 5
Indiana (IN) $4,218 7
New York (NY) $4,856 2
Utah (UT) $5,264 1
Tennessee (TN) $5,309 9
Colorado (CO) $5,670 1
Ohio (OH) $6,428 9
South Carolina (SC) $7,195 3
Rhode Island (RI) $7,295 3
West Virginia (WV) $7,459 1
Wisconsin (WI) $7,648 14
Oregon (OR) $7,720 3
Iowa (IA) $7,957 1
Nebraska (NE) $7,957 4
California (CA) $8,195 49
Oklahoma (OK) $8,647 1
Maryland (MD) $8,997 4
Connecticut (CT) $9,137 4
Virginia (VA) $9,255 3
Massachusetts (MA) $10,084 5
Kansas (KS) $10,503 7
Idaho (ID) $10,606 3
North Dakota (ND) $12,439 2
Nevada (NV) $12,617 6
Hawaii (HI) $13,184 3
North Carolina (NC) $13,483 22
Texas (TX) $14,234 15
Georgia (GA) $15,425 6
Missouri (MO) $17,785 6
Michigan (MI) $17,913 125
Florida (FL) $19,026 41
Louisiana (LA) $19,387 2
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.