Code: A9513

Description:
Description: Lutetium lu 177, dotatate, therapeutic, 1 millicurie
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
LU177 DOTATATE TX 1MCI
LUTETIUM LU 177 DOTATATE THERAPEUTIC 1 MCI
LUTATHERA 340B CHARGE
LUTETIUM LU 177 DOTATATE
LUTETIUM LU 177 DOTATATE 1 MCI 200MCI
LU 177 LUTETIUM DOTATATE RX PER 1MCI
Lutetium lu 177 dotatat ther
Lutetium Lu 177 Dotatate, Tx
Related codes:
Code: A9510
TC99M DISOFENIN DX 15MCI
Code: A9512
TC99M PERTECHNETA DX MCI
Code: A9515
Description: Choline c-11, diagnostic, per study dose up to 20 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A9516
I123 SOD DX 100-999 UCI
Code: A9517
I131 SOD IOD CAP TX MCI
Code: A9518
I-131 SODIUM IODIDE SOLUTION
Code: A9519
TECHNETIUMTC-99MMACROAG ALBU
State Average # Hospitals In Database
Indiana (IN) $267 5
Oklahoma (OK) $271 3
West Virginia (WV) $298 1
Connecticut (CT) $320 1
Rhode Island (RI) $360 3
Michigan (MI) $407 5
North Carolina (NC) $480 16
New York (NY) $503 1
Ohio (OH) $505 1
Tennessee (TN) $560 5
Wisconsin (WI) $564 3
Iowa (IA) $776 1
Nebraska (NE) $776 4
California (CA) $1,034 23
Pennsylvania (PA) $1,848 1
Kansas (KS) $6,308 2
Florida (FL) $8,575 4
Texas (TX) $25,994 2
Hawaii (HI) $31,732 5
Maryland (MD) $56,000 1
Missouri (MO) $186,200 2
Massachusetts (MA) $213,775 1

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.