Code: A9584

Description:
Description: Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC IODINE I-123 IOFLUPANE
HC RP DAT SCAN I 123 IOFLUPANE
IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI
I-123 IOFLUPANE (DATASCAN) DOSE
Ioflupane I-123 Up To 5 Mci
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: 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: 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
Minnesota (MN) $3,198 13
Oklahoma (OK) $3,393 1
West Virginia (WV) $3,440 1
Rhode Island (RI) $3,575 3
Missouri (MO) $3,757 3
North Dakota (ND) $3,849 2
Maryland (MD) $4,043 1
New York (NY) $4,061 4
Wisconsin (WI) $4,436 19
Oregon (OR) $4,500 3
Kansas (KS) $4,823 4
North Carolina (NC) $5,131 17
Georgia (GA) $5,154 2
Tennessee (TN) $5,369 2
Vermont (VT) $5,607 1
Idaho (ID) $6,059 7
Washington (WA) $6,885 2
Louisiana (LA) $6,910 1
Nevada (NV) $7,318 4
California (CA) $7,325 50
Pennsylvania (PA) $8,004 1
Texas (TX) $8,066 6
Ohio (OH) $8,225 9
Virginia (VA) $8,593 1
Connecticut (CT) $8,738 2
Maine (ME) $8,841 1
Massachusetts (MA) $9,264 2
Michigan (MI) $12,083 125
New Hampshire (NH) $14,950 1
Florida (FL) $16,165 19
Nebraska (NE) $19,474 6
Iowa (IA) $19,474 1
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.