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

Georgia

Hospital	Address	Code	Price	Last Updated
Coliseum Health System	350 Hospital Dr, Macon	A9582	$6,788 [source]	4 years ago
Wellstar Atlanta Medical Center	303 Parkway Dr Ne, Atlanta, Georgia, Atlanta	A9582	$8,361 [source]	4 years ago
Emory University Hospital Decatur	2165 N Decatur Rd , Decatur	A9582	$13,126 [source]	4 years ago
Cartersville Medical Center	960 Joe Frank Harris Pkwy, Cartersville	A9582	$16,252 [source]	4 years ago
Memorial Health	4700 Waters Avenue, Savannah	A9582	$24,012 [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.