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
Texas
Hospital Address Code Price Last Updated
Ascension Providence 6901 Medical Pkwy, Woodway A9507 $1,554 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco A9507 $2,574 [source] 4 years ago
Palestine Regional Medical Center 2900 South Loop 256, Palestine A9507 $3,438 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson A9507 $4,854 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen A9507 $4,854 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas A9507 $4,854 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg A9507 $7,654 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen A9507 $7,654 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen A9507 $7,654 [source] 4 years ago
St. David's Healthcare , Round Rock A9507 $8,449 [source] 4 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas A9507 $18,396 [source] 4 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth A9507 $18,758 [source] 4 years ago
Medical City Denton 3535 S Interstate 35, Corinth A9507 $25,464 [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.