Code: A9589

Description:
Description: Instillation, hexaminolevulinate hydrochloride, 100 mg
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HEXAMINOLEVULINATE 100 MG INTRAVESICAL SOLUTION
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: A9588
Description: Fluciclovine f-18, diagnostic, 1 millicurie
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Florida
Hospital Address Code Price Last Updated
Adventhealth Lake Wales 410 South 11Th Street, Lake Wales A9589 $3,435 [source] 4 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills A9589 $3,435 [source] 4 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares A9589 $3,435 [source] 4 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala A9589 $3,435 [source] 4 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City A9589 $3,435 [source] 4 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa A9589 $3,435 [source] 4 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills A9589 $3,435 [source] 4 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula A9589 $3,435 [source] 4 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland A9589 $3,435 [source] 4 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City A9589 $3,435 [source] 4 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa A9589 $3,435 [source] 4 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs A9589 $3,435 [source] 4 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach A9589 $3,435 [source] 4 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring A9589 $3,435 [source] 4 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa A9589 $3,435 [source] 4 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando A9589 $4,750 [source] 4 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park A9589 $8,636 [source] 4 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa A9589 $8,636 [source] 4 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando A9589 $8,636 [source] 4 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka A9589 $8,636 [source] 4 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando A9589 $8,636 [source] 4 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee A9589 $8,636 [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.