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

Nebraska

Hospital	Address	Code	Price	Last Updated
Chi Health Good Samaritan	10 E 31St St, Kearney	A9588	$2,102 [source]	4 years ago
Chi Health Lakeside	17201 Wright St, Omaha	A9588	$2,102 [source]	4 years ago
Chi Health Midlands	11111 S 84Th St, Papillion	A9588	$2,102 [source]	4 years ago
Chi Health Creighton University Medical Center - Bergan Mercy	7500 Mercy Rd, Omaha	A9588	$2,102 [source]	4 years ago
Chi Health Immanuel	7101 Newport Ave, Omaha	A9588	$2,102 [source]	4 years ago
Chi Health St. Francis	2116 W Faidley Ave, Grand Island	A9588	$2,102 [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.