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
Hawaii
Hospital Address Code Price Last Updated
Kaiser Permanente 3288 Moanalua Rd, Honolulu A9507 $578 [source] 4 years ago
Hale Ho'ola Hamakua 100 Keokea Pl, Kula A9507 $1,855 [source] 4 years ago
Kau Hospital 1 Kamani Street, Pahala A9507 $1,855 [source] 4 years ago
Kona Community Hospital 79-1019 Haukapila St, Kealakekua A9507 $1,855 [source] 4 years ago
The Queen's Medical Center - West O'ahu 1301 Punchbowl St, Honolulu A9507 $9,900 [source] 4 years ago
The Queen's Medical Center 4800 Kawaihau Rd, Kapaa A9507 $9,900 [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.