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
California
Hospital Address Code Price Last Updated
Sutter Medical Center, Sacramento 2825 Capitol Ave, Sacramento A9513 $384 [source] 4 years ago
Sutter Roseville Medical Center 1 Medical Plaza Dr, Roseville A9513 $384 [source] 4 years ago
Sutter Medical Center Of Sacramento 2825 Capitol Avenue, Sacramento A9513 $384 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara A9513 $1,132 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco A9513 $1,132 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills A9513 $1,132 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento A9513 $1,132 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch A9513 $1,132 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto A9513 $1,132 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville A9513 $1,132 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro A9513 $1,132 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek A9513 $1,132 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose A9513 $1,132 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento A9513 $1,132 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond A9513 $1,132 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon A9513 $1,132 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City A9513 $1,132 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo A9513 $1,132 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael A9513 $1,132 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco A9513 $1,132 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno A9513 $1,132 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville A9513 $1,132 [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.