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

Texas

Hospital	Address	Code	Price	Last Updated
Corpus Christi Medical Center	7101 South Padre Island Dr, Corpus Christi	A4642	$8,999 [source]	4 years ago
Medical City Las Colinas	6800 N Macarthur Blvd, Irving	A4642	$9,461 [source]	4 years ago
Medical City Arlington	3301 Matlock Rd, Arlington	A4642	$16,200 [source]	4 years ago
Medical City Denton	3535 S Interstate 35, Corinth	A4642	$17,175 [source]	4 years ago
Medical City Lewisville	500 W Main St, Lewisville	A4642	$17,178 [source]	4 years ago
Medical City Dallas	13155 Noel Rd. Suite 200, Dallas	A4642	$24,898 [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.