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

Connecticut

Hospital	Address	Code	Price	Last Updated
Danbury Hospital	24 Hospital Ave, Danbury	A9585	$3 [source]	4 years ago
St Vincent's Medical Center	2600 Park Ave, Unit 1M, Bridgeport	A9585	$161 [source]	4 years ago
The Hospital Of Central Connecticut	100 Grand St, Emergency Department, New Britain	A9585	$161 [source]	4 years ago
Middlesex Hospital	520 Saybrook Rd Ste N100, Middletown	A9585	$374 [source]	4 years ago
Hartford Hospital	80 Seymour St, Hartford	A9585	$483 [source]	4 years ago
Middlesex Hospital	28 Crescent St, Middletown	A9585	$900 [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.