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
Connecticut
Hospital Address Code Price Last Updated
The Hospital Of Central Connecticut 100 Grand St, Emergency Department, New Britain A9517 $54 [source] 4 years ago
Norwalk Hospital 40 Prospect Ave, Norwalk A9517 $79 [source] 4 years ago
St Vincent's Medical Center 2600 Park Ave, Unit 1M, Bridgeport A9517 $86 [source] 4 years ago
Danbury Hospital 24 Hospital Ave, Danbury A9517 $168 [source] 4 years ago
Middlesex Hospital 520 Saybrook Rd Ste N100, Middletown A9517 $643 [source] 4 years ago
Middlesex Hospital 28 Crescent St, Middletown A9517 $722 [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.