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
Tennessee
Hospital Address Code Price Last Updated
Riverview Regional Medical Center 158 Hospital Drive, Carthage A9517 $19 [source] 4 years ago
Southern Tennessee Regional Health System - Winchester 185 Hospital Road, Winchester A9517 $21 [source] 4 years ago
Southern Tennessee Regional Health System - Lawrenceburg 1607 South Locust Avenue, Lawrenceburg A9517 $22 [source] 4 years ago
Ascension Saint Thomas Stones River 324 Doolittle Rd, Woodbury A9517 $44 [source] 4 years ago
Ascension Saint Thomas Dekalb 520 W Main St, Smithville A9517 $44 [source] 4 years ago
Saint Thomas Hickman Hospital 1518 Highway 100, Centerville A9517 $44 [source] 4 years ago
Ascension Saint Thomas Highlands 401 Sewell Dr, Sparta A9517 $44 [source] 4 years ago
St. Jude Children's Research Hospital , Memphis A9517 $74 [source] 4 years ago
Trousdale Medical Center 500 Church Street, Hartsville A9517 $99 [source] 4 years ago
Sumner Regional Medical Center 555 Hartsville Pike, Gallatin A9517 $497 [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.