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

Minnesota

Hospital	Address	Code	Price	Last Updated
Buffalo Hospital	303 Catlin St, Buffalo	A9588	$58 [source]	4 years ago
Cambridge Medical Center	701 Dellwood St, Cambridge	A9588	$58 [source]	4 years ago
Abbott Northwestern Hospital	, Minneapolis	A9588	$80 [source]	4 years ago
Essentia Health-Duluth (Miller-Dwan Building)	502 E 2Nd St, Duluth	A9588	$476 [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 §180.