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
Wisconsin
Hospital Address Code Price Last Updated
River Falls Area Hospital , River Falls A9507 $78 [source] 4 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand A9507 $4,854 [source] 4 years ago
Aurora Medical Center Kenosha 10400 75Th St, Kenosha A9507 $6,810 [source] 4 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton A9507 $6,810 [source] 4 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh A9507 $6,810 [source] 4 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee A9507 $6,810 [source] 4 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette A9507 $6,810 [source] 4 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc A9507 $6,810 [source] 4 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay A9507 $6,810 [source] 4 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee A9507 $6,810 [source] 4 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton A9507 $7,385 [source] 4 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee A9507 $13,676 [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.