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
Florida
Hospital Address Code Price Last Updated
Adventhealth Daytona Beach 301 Memorial Medical Pkwy, Daytona Beach A9507 $1 [source] 4 years ago
University Hospital & Medical Center 7201 North University Dr, Fort Lauderdale A9507 $203 [source] 4 years ago
Wellington Regional Medical Center 10101 Forest Hill Blvd., West Palm Beach A9507 $2,557 [source] 4 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills A9507 $3,124 [source] 4 years ago
Englewood Community Hospital 700 Medical Blvd, Englewood A9507 $4,349 [source] 4 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills A9507 $4,854 [source] 4 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares A9507 $4,854 [source] 4 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala A9507 $4,854 [source] 4 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City A9507 $4,854 [source] 4 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa A9507 $4,854 [source] 4 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula A9507 $4,854 [source] 4 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland A9507 $4,854 [source] 4 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City A9507 $4,854 [source] 4 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa A9507 $4,854 [source] 4 years ago
Adventhealth Lake Wales 410 South 11Th Street, Lake Wales A9507 $4,854 [source] 4 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring A9507 $4,854 [source] 4 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach A9507 $4,854 [source] 4 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs A9507 $4,854 [source] 4 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa A9507 $4,854 [source] 4 years ago
Manatee Healthcare System 206 Second Street East, Bradenton A9507 $6,654 [source] 4 years ago
Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard, Bradenton A9507 $6,654 [source] 4 years ago
Kendall Regional Medical Center 11750 Sw 40 St, Miami A9507 $9,547 [source] 4 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando A9507 $13,624 [source] 4 years ago
St. Petersburg General Hospital 6500 38Th Ave N, Saint Petersburg A9507 $13,644 [source] 4 years ago
Gulf Coast Regional Medical Center 449 W 23Rd St, Panama City A9507 $20,510 [source] 4 years ago
Doctors Hospital Of Sarasota 5731 Bee Ridge Rd, Sarasota A9507 $24,346 [source] 4 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando A9507 $24,771 [source] 4 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka A9507 $24,771 [source] 4 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee A9507 $24,771 [source] 4 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando A9507 $24,771 [source] 4 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa A9507 $24,771 [source] 4 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park A9507 $24,771 [source] 4 years ago
Largo Medical Center 201 14Th St Sw, Largo A9507 $25,978 [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 ยง180.