Code: A9585

Description:
Description: Injection, gadobutrol, 0.1 ml
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
GADOBUTROL 10 ML INJ
GADOBUTROL 15 ML INJ
MR CONTRAST GADOVIST ML
GADOBUTROL 15 MMOL/15 ML (1 MMOL/ML) INTRAVENOUS SOLUTION
GADOBUTROL 2 MMOL/2 ML (1 MMOL/ML) INTRAVENOUS SOLUTION
GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) INTRAVENOUS SOLUTION
GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION
GADAVIST 15ML, PER ML NDC
GADAVIST 10ML, PER ML NDC
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: 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: 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
Washington (WA) $2 1
Ohio (OH) $3 7
Minnesota (MN) $4 7
New York (NY) $6 1
Tennessee (TN) $15 6
Iowa (IA) $17 3
Nebraska (NE) $17 11
South Carolina (SC) $20 1
Wisconsin (WI) $32 5
Michigan (MI) $37 98
Pennsylvania (PA) $49 3
Kentucky (KY) $52 7
Alabama (AL) $63 2
California (CA) $79 49
Massachusetts (MA) $87 8
Oklahoma (OK) $104 1
Alaska (AK) $134 2
Vermont (VT) $153 1
Missouri (MO) $169 8
West Virginia (WV) $185 3
Kansas (KS) $218 7
Hawaii (HI) $229 1
Georgia (GA) $232 14
Idaho (ID) $247 4
Florida (FL) $290 94
Texas (TX) $312 20
Connecticut (CT) $347 6
Virginia (VA) $362 2
North Carolina (NC) $362 20
District of Columbia (DC) $368 1
Nevada (NV) $501 14
Utah (UT) $530 3
Arizona (AZ) $638 2
Louisiana (LA) $655 2
Indiana (IN) $818 4
New Hampshire (NH) $2,916 5

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.