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
Florida
Hospital Address Code Price Last Updated
Adventhealth Waterman 1000 Waterman Way, Tavares A9584 $6,298 [source] 4 years ago
Highlands Regional Medical Center 3600 South Highlands Ave, Sebring A9584 $7,558 [source] 4 years ago
Cleveland Clinic Florida - Weston 2950 Cleveland Clinic Boulevard, Fort Lauderdale A9584 $9,114 [source] 4 years ago
Aventura Hospital & Medical Center 20900 Biscayne Blvd, Miami A9584 $11,518 [source] 4 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando A9584 $13,509 [source] 4 years ago
Medical Center Of Trinity 9330 State Rd 54, New Port Richey A9584 $13,933 [source] 4 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park A9584 $24,561 [source] 4 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa A9584 $24,561 [source] 4 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa A9584 $24,561 [source] 4 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando A9584 $24,561 [source] 4 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka A9584 $24,561 [source] 4 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando A9584 $24,561 [source] 4 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee A9584 $24,561 [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.