Code: A9507

Description:
Description: Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI
INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI
IN-111 CAPRO PENDETIDE
In111 capromab
Related codes:
Code: A9500
TC99M SESTAMIBI DX DOSE
Code: A9501
Description: Technetium tc-99m teboroxime, diagnostic, per study dose
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A9502
TC99M TETROFOSMIN DXDOSE
Code: A9503
TC99M MEDRONATE DX 30MCI
Code: A9504
TC99M APCITIDE DX 20MCI
Code: A9505
TL201 THALLOUS CL DX MCI
Code: A9508
I131 IOBENGUAN DX 0.5MCI
Code: A9509
I123 SODIUM IOD DX 1 MCI
State Average # Hospitals In Database
New Jersey (NJ) $632 1
Minnesota (MN) $1,890 13
Tennessee (TN) $2,228 5
Massachusetts (MA) $2,555 2
New Mexico (NM) $2,807 1
West Virginia (WV) $3,197 1
Michigan (MI) $3,419 7
Hawaii (HI) $4,324 6
Oklahoma (OK) $4,470 1
New York (NY) $4,688 3
Kentucky (KY) $4,854 2
South Carolina (SC) $5,484 1
Illinois (IL) $5,521 7
California (CA) $6,078 40
North Carolina (NC) $6,268 9
Wisconsin (WI) $6,564 13
Georgia (GA) $6,683 14
Kansas (KS) $7,451 7
Rhode Island (RI) $7,798 3
Connecticut (CT) $7,823 1
North Dakota (ND) $8,012 2
District of Columbia (DC) $8,365 1
Iowa (IA) $8,426 3
Texas (TX) $8,817 15
Virginia (VA) $8,840 2
Nebraska (NE) $8,894 6
Florida (FL) $9,605 56
Nevada (NV) $9,901 8
Washington (WA) $10,239 2
Louisiana (LA) $14,297 1
Missouri (MO) $19,000 8
Alaska (AK) $20,169 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.