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

Nevada

Hospital	Address	Code	Price	Last Updated
Carson Valley Medical Center	1107 Hwy 395, Gardnerville	A9582	$930 [source]	4 years ago
Summerlin Hospital Medical Center	657 Town Center Dr, Las Vegas	A9582	$8,036 [source]	4 years ago
Renown Regional Medical Center	1155 Mill Street, Reno	A9582	$12,285 [source]	4 years ago
Renown South Meadows Medical Center	10101 Double R Blvd, Reno	A9582	$12,285 [source]	4 years ago
Sunrise Hospital & Medical Center	3186 S Maryland Pkwy, Las Vegas	A9582	$21,084 [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.