Code: A4642

Description:
Description: Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
RP ONCOSCINT IN III
INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI
In111 Satumomab
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: A4641
RADIOPHARM DX NOC
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
Kansas (KS) $225 2
Minnesota (MN) $641 13
Pennsylvania (PA) $1,164 1
Wisconsin (WI) $1,221 2
Oklahoma (OK) $1,910 2
Alabama (AL) $2,172 2
Arizona (AZ) $2,267 1
Ohio (OH) $2,317 5
Michigan (MI) $3,369 2
Tennessee (TN) $3,474 4
Mississippi (MS) $4,093 6
Iowa (IA) $4,111 3
California (CA) $4,258 24
North Carolina (NC) $5,101 6
Nebraska (NE) $5,347 6
Connecticut (CT) $6,743 1
West Virginia (WV) $7,478 1
Virginia (VA) $8,259 2
Florida (FL) $8,654 37
Georgia (GA) $9,833 6
Texas (TX) $14,701 7
Louisiana (LA) $18,088 1
Nevada (NV) $29,466 2
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.