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

Maine

Hospital	Address	Code	Price	Last Updated
Eastern Maine Medical Center	489 State St, Bangor	A9517	$90 [source]	4 years ago
Northern Light A.r. Gould Hospital	140 Academy St, Presque Isle	A9517	$92 [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.