Code: A9516

Description:
Description: Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999
HC RP IODINE 123 PER 100 UCI
IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999
I123 SODIUM IODIDE CAP PER 100 UCI
I123 SODIUM IOD CAP PER 200 UCI
NM IODINE 123/TAB 200UC A9516
I-123 Sodium Cap 100 Uci
I-123 Sodium Cap 200 Uci
Related codes:
Code: A9510
TC99M DISOFENIN DX 15MCI
Code: A9512
TC99M PERTECHNETA DX MCI
Code: A9513
LU177 DOTATATE TX 200MCI
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: A9517
I131 SOD IOD CAP TX MCI
Code: A9518
I-131 SODIUM IODIDE SOLUTION
Code: A9519
TECHNETIUMTC-99MMACROAG ALBU
State Average # Hospitals In Database
Arkansas (AR) $31 3
Minnesota (MN) $41 19
New Jersey (NJ) $54 2
Vermont (VT) $81 1
District of Columbia (DC) $109 1
Iowa (IA) $114 3
Maryland (MD) $116 6
Hawaii (HI) $121 2
New York (NY) $123 4
Nebraska (NE) $129 10
Ohio (OH) $135 10
South Dakota (SD) $137 1
Illinois (IL) $149 8
Indiana (IN) $161 16
North Carolina (NC) $169 27
West Virginia (WV) $191 4
Michigan (MI) $207 139
Oklahoma (OK) $209 2
Maine (ME) $211 5
Connecticut (CT) $217 6
Rhode Island (RI) $223 3
Arizona (AZ) $227 2
Washington (WA) $229 2
Wisconsin (WI) $238 29
Idaho (ID) $239 11
Louisiana (LA) $246 3
Massachusetts (MA) $262 8
Utah (UT) $265 3
Mississippi (MS) $266 7
New Mexico (NM) $266 2
Pennsylvania (PA) $274 4
Alabama (AL) $274 11
Tennessee (TN) $287 14
South Carolina (SC) $302 8
California (CA) $312 78
North Dakota (ND) $315 4
Georgia (GA) $317 20
Missouri (MO) $335 12
Wyoming (WY) $350 2
Delaware (DE) $368 1
New Hampshire (NH) $402 6
Colorado (CO) $441 1
Texas (TX) $545 42
Kentucky (KY) $569 8
Virginia (VA) $615 6
Alaska (AK) $663 2
Kansas (KS) $781 10
Florida (FL) $809 113
Nevada (NV) $892 15
Oregon (OR) $2,527 3

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.