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
Michigan
Hospital Address Code Price Last Updated
Mclaren Bay Region 1900 Columbus Ave, Bay City A9507 $2,924 [source] 4 years ago
Mclaren Bay Special Care Hospital 3250 E Midland Rd Suite 1, Bay City A9507 $2,924 [source] 4 years ago
Up Health System – Marquette 580 West College Avenue, Marquette A9507 $2,963 [source] 4 years ago
Mclaren Oakland 50 N Perry St, Pontiac A9507 $3,011 [source] 4 years ago
Mclaren Northern Michigan 416 Connable Ave, Petoskey A9507 $3,091 [source] 4 years ago
Mclaren Flint 401 S Ballenger Hwy, Flint A9507 $4,461 [source] 4 years ago
Mclaren Macomb 1000 Harrington St, Mount Clemens A9507 $4,560 [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.