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
Wisconsin
Hospital Address Code Price Last Updated
River Falls Area Hospital , River Falls A9516 $21 [source] 4 years ago
Aspirus Divine Savior Hospital 2817 New Pinery Rd, Portage A9516 $109 [source] 4 years ago
Aspirus Medford Hospital 135 S Gibson St, Medford A9516 $168 [source] 4 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau A9516 $168 [source] 4 years ago
Aspirus Langlade Hospital 110 E 5Th Ave, Antigo A9516 $168 [source] 4 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids A9516 $168 [source] 4 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, A9516 $168 [source] 4 years ago
Aurora Medical Center Burlington 252 Mchenry St, Burlington A9516 $170 [source] 4 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee A9516 $170 [source] 4 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay A9516 $170 [source] 4 years ago
Aurora Medical Center Of Manitowoc County 5000 Memorial Dr, Two Rivers A9516 $170 [source] 4 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc A9516 $170 [source] 4 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette A9516 $170 [source] 4 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee A9516 $170 [source] 4 years ago
Aurora Lakeland Medical Center W3930 County Road Nn, Elkhorn A9516 $170 [source] 4 years ago
Aurora West Allis Medical Center 8901 W Lincoln Ave, Milwaukee A9516 $170 [source] 4 years ago
Aurora Medical Center Of Washington County 1032 E Sumner St, Hartford A9516 $170 [source] 4 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh A9516 $170 [source] 4 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton A9516 $170 [source] 4 years ago
Aurora Medical Center Kenosha 10400 75Th St, Kenosha A9516 $170 [source] 4 years ago
Aurora Sheboygan Memorial Medical Center 2629 N 7Th St, Sheboygan A9516 $170 [source] 4 years ago
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy A9516 $170 [source] 4 years ago
Prairie Ridge Health 1515 Park Ave, Columbus A9516 $285 [source] 4 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton A9516 $304 [source] 4 years ago
Watertown Regional Medical Center 125 Hospital Drive, Watertown A9516 $341 [source] 4 years ago
Upland Hills Health 800 Compassion Way, Dodgeville A9516 $457 [source] 4 years ago
Tomah Memorial Hospital 501 Gopher Dr, Tomah A9516 $640 [source] 4 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand A9516 $675 [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.