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

Nebraska

Hospital	Address	Code	Price	Last Updated
Chi Health St. Francis	2116 W Faidley Ave, Grand Island	A4641	$87 [source]	4 years ago
Chi Health St. Mary	1301 Grundman Blvd, Nebraska City	A4641	$198 [source]	4 years ago
Chi Health Lakeside	17201 Wright St, Omaha	A4641	$524 [source]	4 years ago
Chi Health Midlands	11111 S 84Th St, Papillion	A4641	$524 [source]	4 years ago
Chi Health Creighton University Medical Center - Bergan Mercy	7500 Mercy Rd, Omaha	A4641	$524 [source]	4 years ago
Chi Health Immanuel	7101 Newport Ave, Omaha	A4641	$524 [source]	4 years ago
Chi Health Good Samaritan	10 E 31St St, Kearney	A4641	$6,741 [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.