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
Oklahoma
Hospital Address Code Price Last Updated
St. Mary’S Regional Medical Center 305 South 5Th Street, Enid A9585 $104 [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.