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
Wisconsin
Hospital Address Code Price Last Updated
River Falls Area Hospital , River Falls A9517 $10 [source] 4 years ago
Aspirus Langlade Hospital 110 E 5Th Ave, Antigo A9517 $41 [source] 4 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton A9517 $60 [source] 4 years ago
Watertown Regional Medical Center 125 Hospital Drive, Watertown A9517 $74 [source] 4 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette A9517 $110 [source] 4 years ago
Aurora Sheboygan Memorial Medical Center 2629 N 7Th St, Sheboygan A9517 $110 [source] 4 years ago
Aurora Lakeland Medical Center W3930 County Road Nn, Elkhorn A9517 $110 [source] 4 years ago
Aurora Medical Center Burlington 252 Mchenry St, Burlington A9517 $110 [source] 4 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee A9517 $110 [source] 4 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay A9517 $110 [source] 4 years ago
Aurora Medical Center Of Manitowoc County 5000 Memorial Dr, Two Rivers A9517 $110 [source] 4 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc A9517 $110 [source] 4 years ago
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy A9517 $110 [source] 4 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee A9517 $110 [source] 4 years ago
Aurora Medical Center Of Washington County 1032 E Sumner St, Hartford A9517 $110 [source] 4 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh A9517 $110 [source] 4 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton A9517 $110 [source] 4 years ago
Aurora Medical Center Kenosha 10400 75Th St, Kenosha A9517 $110 [source] 4 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand A9517 $119 [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.