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
Georgia
Hospital Address Code Price Last Updated
Emory University Hospital Decatur 2165 N Decatur Rd , Decatur A9517 $34 [source] 4 years ago
Wellstar Atlanta Medical Center 303 Parkway Dr Ne, Atlanta, Georgia, Atlanta A9517 $91 [source] 4 years ago
Murray Medical Center, Inc. 104 Hospital Dr, Chatsworth A9517 $119 [source] 4 years ago
Adventist Health System Georgia, Inc 170 Curtis Pkwy Ne, Calhoun A9517 $119 [source] 4 years ago
Adventhealth Gordon 105 Willowbrook Way Se, Calhoun A9517 $119 [source] 4 years ago
Murray County Memorial Hospital Authority 707 Old Dalton Ellijay Rd, Chatsworth A9517 $119 [source] 4 years ago
Adventist Health System Georgia Inc 1035 Red Bud Rd Ne, Calhoun A9517 $119 [source] 4 years ago
Redmond Regional Medical Center 501 Redmond Rd, Rome A9517 $127 [source] 4 years ago
Emory University Hospital 1364 Clifton Rd Ne, Atlanta A9517 $130 [source] 4 years ago
Coliseum Health System 350 Hospital Dr, Macon A9517 $165 [source] 4 years ago
Memorial Satilla Health 1900 Tebeau St, Waycross A9517 $329 [source] 4 years ago
Cartersville Medical Center 960 Joe Frank Harris Pkwy, Cartersville A9517 $385 [source] 4 years ago
Fairview Park Hospital 200 Industrial Boulevard, Dublin A9517 $413 [source] 4 years ago
Eastside Medical Center 1700 Medical Way, Snellville A9517 $1,152 [source] 4 years ago
Memorial Health 4700 Waters Avenue, Savannah A9517 $2,833 [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.