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
Michigan
Hospital Address Code Price Last Updated
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren A9513 $370 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield A9513 $379 [source] 4 years ago
St. John Providence 28000 Dequindre Rd, Warren A9513 $399 [source] 4 years ago
Karmanos Cancer Institute 4100 John R St, Detroit A9513 $405 [source] 4 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester A9513 $480 [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.