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

North Dakota

Hospital	Address	Code	Price	Last Updated
Essentia Health-Fargo	3000 32Nd Ave S, Fargo	A9516	$189 [source]	4 years ago
Kenmare Community Hospital	317 1St Ave Nw, Kenmare	A9516	$319 [source]	4 years ago
Trinity Hospitals	1 Burdick Expy W, Minot	A9516	$319 [source]	4 years ago
Sanford Bismarck	300 N 7Th St, Bismarck	A9516	$435 [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.