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
North Carolina
Hospital Address Code Price Last Updated
Atrium Health University 8800 N. Tryon St. , Charlotte A9587 $129 [source] 4 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte A9587 $130 [source] 4 years ago
Atrium Health Lincoln 433 Mcalister Road , Lincolnton A9587 $130 [source] 4 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte A9587 $135 [source] 4 years ago
Atrium Health Pineville 10628 Park Road , Charlotte A9587 $140 [source] 4 years ago
Atrium Health Cabarrus 920 Church Street North , Concord A9587 $141 [source] 4 years ago
Atrium Health Union 600 Hospital Drive , Monroe A9587 $159 [source] 4 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby A9587 $185 [source] 4 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle A9587 $197 [source] 4 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro A9587 $210 [source] 4 years ago
Mission Hospital , Asheville A9587 $418 [source] 4 years ago
Cone Health Moses Cone Hospital 1121 North Church St Entrance A, Greensboro A9587 $2,030 [source] 4 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro A9587 $5,800 [source] 4 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville A9587 $5,800 [source] 4 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro A9587 $5,800 [source] 4 years ago
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington A9587 $5,800 [source] 4 years ago
Moses Cone Hospital 1131D N Church St, Greensboro A9587 $5,800 [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.