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
Minnesota
Hospital Address Code Price Last Updated
Essentia Health-Duluth (Miller-Dwan Building) 502 E 2Nd St, Duluth A9516 $17 [source] 4 years ago
Abbott Northwestern Hospital , Minneapolis A9516 $21 [source] 4 years ago
Buffalo Hospital 303 Catlin St, Buffalo A9516 $21 [source] 4 years ago
Cambridge Medical Center 701 Dellwood St, Cambridge A9516 $21 [source] 4 years ago
Sanford Thief River Falls 120 Labree Ave S, Thief River Falls A9516 $42 [source] 4 years ago
Sanford Bemidji Medical Center 1300 Anne St Nw, Bemidji A9516 $58 [source] 4 years ago
Essentia Health-St. Joseph's Medical Center (Brainerd) 523 N 3Rd St, Brainerd A9516 $89 [source] 4 years ago
Essentia Health-Moose Lake 4572 County Road 61, Moose Lake A9516 $143 [source] 4 years ago
Hennepin Healthcare 716 South 7Th Street, Minneapolis A9516 $174 [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.