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

Wisconsin

Hospital	Address	Code	Price	Last Updated
Ascension Calumet Hospital	614 Memorial Dr, Chilton	A9513	$390 [source]	4 years ago
Aurora St. Luke's Medical Center	2900 W Oklahoma Ave, Milwaukee	A9513	$540 [source]	4 years ago
Orthopaedic Hospital Of Wisconsin	475 W River Woods Pkwy, Milwaukee	A9513	$761 [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.