Code: A4641

Description:
Description: Radiopharmaceutical, diagnostic, not otherwise classified
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC RADIOPHARMACEUTICAL DIAGNOSTIC NOC
DX RADIOPHARMACEUTICAL, NW 1
SUPPLY, RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT
ULTRATAG RBC KIT
CARBON 14 UREA, 0.001MCI PER 1 MICROCURIE
DX RADIOPHARMACEUTICAL, NW 3
RADIOPHARMACEUTICAL DIAGNOSTIC NOC
TC99M HEAT DAMAGED RBCS PER DOSE 5MCI
TC99M PLATELETS PER DOSE 20MCI
Related codes:
Code: A4640
Description: Replacement pad for use with medically necessary alternating pressure pad owned by patient
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A4642
SATUMOMAB PENDETIDE 6MCI
Code: A4644
OBSOLETE OMNIPAQUE,NON-IONIC 140MG/50ML SDV.
Code: A4645
OBSOLETE OMNIPAQUE,NON-IONIC 240MG/10ML SDV.
Code: A4646
MARKER DIAG 12CM XSHAPE
Code: A4647
OBSOLETE MAGNEVIST (FOR MRI) 10ML/VIAL.
Code: A4648
MARKER BIOZRB TISS 3X3CM
Code: A4649
Description: Surgical supply
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
State Average # Hospitals In Database
Alabama (AL) $52 1
North Dakota (ND) $66 2
New Hampshire (NH) $96 3
District of Columbia (DC) $105 1
Virginia (VA) $110 2
New Jersey (NJ) $129 1
Colorado (CO) $147 3
Wyoming (WY) $185 2
New Mexico (NM) $196 1
West Virginia (WV) $220 3
Arizona (AZ) $277 1
Illinois (IL) $315 7
Maryland (MD) $369 3
Mississippi (MS) $457 2
Iowa (IA) $524 1
Kentucky (KY) $525 3
Connecticut (CT) $549 1
Louisiana (LA) $578 1
Michigan (MI) $598 15
Indiana (IN) $706 6
Maine (ME) $758 2
Idaho (ID) $768 2
Tennessee (TN) $793 3
Nebraska (NE) $1,303 7
Wisconsin (WI) $1,353 15
South Carolina (SC) $1,393 6
California (CA) $1,716 47
Florida (FL) $1,743 50
Rhode Island (RI) $2,481 1
New York (NY) $2,516 4
Nevada (NV) $2,630 10
Texas (TX) $2,680 20
Hawaii (HI) $3,682 1
North Carolina (NC) $3,793 12
Kansas (KS) $5,019 6
Washington (WA) $5,447 2
Oklahoma (OK) $6,232 1
Georgia (GA) $6,538 8
Alaska (AK) $7,202 2
Massachusetts (MA) $7,665 4
Missouri (MO) $8,348 8

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.