Code: A9588

Description:
Description: Fluciclovine f-18, diagnostic, 1 millicurie
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE
HC RP FLUCICLOVINE F18 DX 1MCI
FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE
AXUMIN (FLUCICLOVINE F18)
AXUMIN FLUCICLOVINE F18
AXUMIN DIAGNOSTIC, 1MCI
Axumin Fluciclovine F-18, Diagnostic, 1 Millicure
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: A9587
Description: Gallium ga-68, dotatate, diagnostic, 0.1 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) $90 14
Tennessee (TN) $382 5
Illinois (IL) $387 1
North Dakota (ND) $432 1
West Virginia (WV) $486 1
District of Columbia (DC) $572 1
Alabama (AL) $814 1
Ohio (OH) $849 8
North Carolina (NC) $934 17
Wisconsin (WI) $1,067 21
Indiana (IN) $1,162 4
Washington (WA) $1,247 2
Missouri (MO) $1,399 6
South Carolina (SC) $1,455 2
Rhode Island (RI) $1,558 3
Michigan (MI) $1,628 125
Georgia (GA) $1,668 5
Nevada (NV) $1,948 2
Nebraska (NE) $2,102 6
Iowa (IA) $2,102 1
Pennsylvania (PA) $2,319 2
Virginia (VA) $2,878 4
California (CA) $2,932 40
Florida (FL) $3,320 39
New Mexico (NM) $3,396 1
Connecticut (CT) $3,861 6
Maryland (MD) $4,245 1
Kansas (KS) $5,486 6
New York (NY) $7,791 1
Texas (TX) $8,343 25
Massachusetts (MA) $18,200 3
New Hampshire (NH) $27,606 1
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.