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

Nebraska

Hospital	Address	Code	Price	Last Updated
Chi Health Schuyler	1721 Colfax St, Schuyler	A4642	$2,875 [source]	4 years ago
Chi Health Plainview	704 N 3Rd St, Plainview	A4642	$2,875 [source]	4 years ago
Chi Health Lakeside	17201 Wright St, Omaha	A4642	$6,583 [source]	4 years ago
Chi Health Midlands	11111 S 84Th St, Papillion	A4642	$6,583 [source]	4 years ago
Chi Health Creighton University Medical Center - Bergan Mercy	7500 Mercy Rd, Omaha	A4642	$6,583 [source]	4 years ago
Chi Health Immanuel	7101 Newport Ave, Omaha	A4642	$6,583 [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.