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
North Carolina
Hospital Address Code Price Last Updated
Cone Health Moses Cone Hospital 1121 North Church St Entrance A, Greensboro A9584 $1,607 [source] 4 years ago
Frye Regional Medical Center 420 N. Center Street, Hickory A9584 $2,598 [source] 4 years ago
Moses Cone Hospital 1131D N Church St, Greensboro A9584 $4,590 [source] 4 years ago
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington A9584 $4,590 [source] 4 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville A9584 $4,590 [source] 4 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro A9584 $4,590 [source] 4 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro A9584 $4,590 [source] 4 years ago
Atrium Health University 8800 N. Tryon St. , Charlotte A9584 $4,986 [source] 4 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte A9584 $5,006 [source] 4 years ago
Atrium Health Lincoln 433 Mcalister Road , Lincolnton A9584 $5,006 [source] 4 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte A9584 $5,226 [source] 4 years ago
Atrium Health Pineville 10628 Park Road , Charlotte A9584 $5,416 [source] 4 years ago
Atrium Health Cabarrus 920 Church Street North , Concord A9584 $5,457 [source] 4 years ago
Atrium Health Union 600 Hospital Drive , Monroe A9584 $6,127 [source] 4 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby A9584 $7,159 [source] 4 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle A9584 $7,589 [source] 4 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro A9584 $8,100 [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.