Code: A9517

Description:
Description: Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC IODINE I-131 SODIUM IODIDE CAPS THERAPEUTIC MCI
ISOTOPE I131 CAP PER MCI
HC RP IODINE 131 MCI THERAPY
SODIUM IODIDE I-131 JW
I 131 SODIUM IODIDE CAPSU
I-131 PER MCI
I131 SOD IODNE THRPY 30MCI
RX TX I 131 Initial Mci
RX TX I 131 Addl Mci
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: A9516
I123 SOD DX 100-999 UCI
Code: A9518
I-131 SODIUM IODIDE SOLUTION
Code: A9519
TECHNETIUMTC-99MMACROAG ALBU
State Average # Hospitals In Database
Minnesota (MN) $15 17
New Jersey (NJ) $17 2
District of Columbia (DC) $18 1
Colorado (CO) $21 1
Oklahoma (OK) $26 6
Rhode Island (RI) $44 2
North Dakota (ND) $55 4
Hawaii (HI) $71 5
Indiana (IN) $71 18
Iowa (IA) $71 1
Ohio (OH) $87 9
Tennessee (TN) $91 10
Maine (ME) $91 2
Wisconsin (WI) $98 20
New York (NY) $101 3
South Carolina (SC) $108 4
Nebraska (NE) $115 7
Michigan (MI) $125 135
Virginia (VA) $127 4
North Carolina (NC) $131 28
Alabama (AL) $138 8
Idaho (ID) $152 6
West Virginia (WV) $153 3
Louisiana (LA) $177 3
Delaware (DE) $196 1
Pennsylvania (PA) $271 3
Washington (WA) $287 1
Connecticut (CT) $292 6
Alaska (AK) $311 2
Illinois (IL) $372 8
Kentucky (KY) $404 8
California (CA) $422 65
Mississippi (MS) $430 7
Texas (TX) $436 39
New Hampshire (NH) $496 5
Georgia (GA) $520 21
Utah (UT) $635 3
Florida (FL) $739 100
Maryland (MD) $1,006 5
Missouri (MO) $1,070 12
Oregon (OR) $1,258 3
Kansas (KS) $1,503 11
New Mexico (NM) $2,346 1
Massachusetts (MA) $7,880 9
Nevada (NV) $9,484 8
Arizona (AZ) $31,257 2
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.