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
Idaho
Hospital Address Code Price Last Updated
Caribou Memorial Hospital 300 S 3Rd W, Soda Springs A9516 $150 [source] 4 years ago
Kootenai Health 2003 Kootenai Health Way, Coeur D Alene A9516 $152 [source] 4 years ago
Minidoka Medical Center 1308 8Th St, Suite 1, Rupert A9516 $152 [source] 4 years ago
St. Joseph Regional Medical Center 415 Sixth Street, Lewiston A9516 $160 [source] 4 years ago
Bonner General Hospital 520 N 3Rd Ave, Sandpoint A9516 $220 [source] 4 years ago
Bear Lake Memorial Hospital 164 S 5Th St, Montpelier A9516 $221 [source] 4 years ago
West Valley Medical Center 1717 Arlington Ave., Caldwell A9516 $247 [source] 4 years ago
Eastern Idaho Regional Medical Center 3100 Channing Way, Idaho Falls A9516 $357 [source] 4 years ago
St. Joseph Regional Medical Center 415 6Th St, Lewiston A9516 $370 [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.