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
Michigan
Hospital Address Code Price Last Updated
William Beaumont Hospital 468 Cadieux Rd, Grosse Pointe A9587 $66 [source] 4 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak A9587 $66 [source] 4 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren A9587 $84 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield A9587 $86 [source] 4 years ago
St. John Providence 28000 Dequindre Rd, Warren A9587 $91 [source] 4 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester A9587 $92 [source] 4 years ago
Mclaren Bay Special Care Hospital 3250 E Midland Rd Suite 1, Bay City A9587 $103 [source] 4 years ago
Mclaren Bay Region 1900 Columbus Ave, Bay City A9587 $103 [source] 4 years ago
Mclaren Greater Lansing 401 W Greenlawn Ave, Lansing A9587 $108 [source] 4 years ago
Mclaren Central Michigan 1221 South Dr, Mount Pleasant A9587 $130 [source] 4 years ago
Karmanos Cancer Institute 4100 John R St, Detroit A9587 $159 [source] 4 years ago
Mclaren Flint 401 S Ballenger Hwy, Flint A9587 $159 [source] 4 years ago
Mclaren Macomb 1000 Harrington St, Mount Clemens A9587 $177 [source] 4 years ago
Mclaren Lapeer Region 1375 N Main St, Lapeer A9587 $187 [source] 4 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn A9587 $197 [source] 4 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn A9587 $197 [source] 4 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn A9587 $197 [source] 4 years ago
Oakwood Healthcare, Inc. 33155 Annapolis St, Wayne A9587 $197 [source] 4 years ago
Oakwood Healthcare, Inc. 5450 Fort St, Trenton A9587 $197 [source] 4 years ago
Oakwood Healthcare, Inc. 10000 Telegraph Rd, Taylor A9587 $197 [source] 4 years ago
Oakwood Healthcare Inc Beaumont Service Center, A9587 $197 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre, Troy A9587 $394 [source] 4 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak A9587 $394 [source] 4 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy A9587 $394 [source] 4 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak A9587 $394 [source] 4 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak A9587 $394 [source] 4 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak A9587 $394 [source] 4 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak A9587 $394 [source] 4 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington A9587 $394 [source] 4 years ago
Botsford General Hospital 28050 Grand River Ave, Farmington A9587 $394 [source] 4 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak A9587 $394 [source] 4 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak A9587 $394 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy A9587 $394 [source] 4 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak A9587 $394 [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.