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

Iowa

Hospital	Address	Code	Price	Last Updated
Chi Health Missouri Valley	809 Elm St, Missouri Valley	A9507	$7,958 [source]	4 years ago
Chi Health Mercy Corning	601 Rosary Dr, Corning	A9507	$7,958 [source]	4 years ago
Chi Health Mercy	1409 Clark St, Des Moines	A9507	$9,362 [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.