Code: A9587

Description:
Description: Gallium ga-68, dotatate, diagnostic, 0.1 millicurie
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
RP GALLIUM GA-68
HC RP GALLIUM GA-68
GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE
GALM GA68 DOT DIAG 0.1MCI
A9587-GALLIUM GA-68 0.1ML
Netspot (ga-68 Dotatate)
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: A9586
Description: Florbetapir f18, diagnostic, per study dose, up to 10 millicuries
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
Minnesota (MN) $60 13
Tennessee (TN) $72 2
South Carolina (SC) $76 1
Maryland (MD) $88 1
District of Columbia (DC) $98 1
West Virginia (WV) $100 1
Connecticut (CT) $102 3
California (CA) $121 42
Ohio (OH) $138 8
Washington (WA) $151 1
Wisconsin (WI) $154 18
Hawaii (HI) $172 2
Missouri (MO) $174 4
Alabama (AL) $181 1
Kentucky (KY) $191 1
Virginia (VA) $194 3
Rhode Island (RI) $200 3
Georgia (GA) $263 4
Pennsylvania (PA) $284 2
Michigan (MI) $325 125
Iowa (IA) $337 1
Nebraska (NE) $337 6
Florida (FL) $672 35
North Carolina (NC) $1,941 17
New York (NY) $3,059 2
Texas (TX) $6,335 26
Massachusetts (MA) $14,726 4
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.