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
Missouri
Hospital Address Code Price Last Updated
Lafayette Regional Health Center 1500 State Street, Lexington A9507 $14,207 [source] 4 years ago
Belton Regional Medical Center 17065 S. 71 Highway, Belton A9507 $15,832 [source] 4 years ago
Research Medical Center 2316 E Meyer Blvd, Kansas City A9507 $21,164 [source] 4 years ago
Lee's Summit Medical Center 2100 Se Blue Parkway, Lees Summit A9507 $21,455 [source] 4 years ago
Centerpoint Medical Center 19600 East 39Th Street, Independence A9507 $22,520 [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.