Code: A9586

Description:
Description: Florbetapir f18, diagnostic, per study dose, up to 10 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC FLORBETAPIR F-18
FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI
Florbetapir F18 Amyvid
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: A9585
Description: Injection, gadobutrol, 0.1 ml
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
Indiana
Hospital Address Code Price Last Updated
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville A9586 $4,536 [source] 4 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis A9586 $4,536 [source] 4 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon A9586 $4,536 [source] 4 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville A9586 $4,536 [source] 4 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport A9586 $4,536 [source] 4 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem A9586 $4,536 [source] 4 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood A9586 $4,536 [source] 4 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford A9586 $4,536 [source] 4 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester A9586 $4,536 [source] 4 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel A9586 $4,536 [source] 4 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson A9586 $4,536 [source] 4 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis A9586 $4,536 [source] 4 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil A9586 $6,012 [source] 4 years ago
Ascension St Vincent Fishers 13861 Olio Road, A9586 $6,012 [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.