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
Kansas
Hospital Address Code Price Last Updated
Ascension Via Christi Hospital Manhattan, Inc. 1823 College Ave, Manhattan A9517 $18 [source] 4 years ago
Mt. Carmel Regional Medical Center, Inc. 1 Mt Carmel Way, Pittsburg A9517 $53 [source] 4 years ago
Saint Luke’s South Hospital 12300 Metcalf Ave, Shawnee Mission A9517 $88 [source] 4 years ago
Adventhealth Ransom Memorial, Inc. 1301 S Main St , Ottawa A9517 $119 [source] 4 years ago
Anderson County Hospital 421 S Maple St, Garnett A9517 $275 [source] 4 years ago
Western Plains Medical Complex 3001 Avenue A, Dodge City A9517 $657 [source] 4 years ago
Overland Park Regional Medical Center 10500 Quivira Road, Shawnee Mission A9517 $1,785 [source] 4 years ago
Menorah Medical Center 5721 W. 119Th Street, Shawnee Mission A9517 $1,810 [source] 4 years ago
Ascension Via Christi Rehabilitation Hospital, Inc. 1151 N Rock Rd, Wichita A9517 $8,133 [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.