Code: A9528

Description:
Description: Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
RP IODINE 131 MCI DX
HC RP IODINE 131 MCI DX
IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI
HC NM I 131 CARDINAL CAP DIAG WB EA ADDL MCI>6
HC NM I 131 CARDINAL CAP DIAG WB PER MCI UP TO 6 MCI
HC NM I 131 TRIAD CAP DIAG WB 1ST MCI
HC NM I 131 TRIAD CAP DIAG WB EA ADDL MCI>1
RX DX I+AC0-131 Iodine Cap per Mci
I131 Dx Capsl /mci
Related codes:
Code: A9520
TC99M TILMANOC DX 0.5MCI
Code: A9521
TC99M EXAMETAZM DX 25MCI
Code: A9522
INDIUM111IBRITUMOMABTIUXETAN
Code: A9523
YTTRIUM90IBRITUMOMABTIUXETAN
Code: A9524
I131 SERUM ALBUM DX 5UCI
Code: A9526
AMMONIA N13 DX 40 MCI
Code: A9527
I-125 SOD IOD SOL TH MCI
Code: A9529
I131 SOD IOD SOL DX MCI
State Average # Hospitals In Database
District of Columbia (DC) $18 1
Hawaii (HI) $31 1
Rhode Island (RI) $38 3
Minnesota (MN) $42 16
Iowa (IA) $58 1
Ohio (OH) $65 9
Nebraska (NE) $66 8
New Jersey (NJ) $69 1
Maryland (MD) $69 5
New York (NY) $79 2
Louisiana (LA) $84 1
Oklahoma (OK) $114 3
Vermont (VT) $116 1
Kansas (KS) $123 6
Kentucky (KY) $123 1
North Dakota (ND) $151 4
Texas (TX) $153 39
Wisconsin (WI) $191 14
Delaware (DE) $216 1
Connecticut (CT) $220 5
Maine (ME) $221 1
Missouri (MO) $221 5
Tennessee (TN) $226 8
Illinois (IL) $255 1
Oregon (OR) $291 3
Idaho (ID) $294 3
North Carolina (NC) $326 19
Virginia (VA) $336 4
California (CA) $345 61
Michigan (MI) $359 126
Alabama (AL) $429 5
Mississippi (MS) $479 6
South Carolina (SC) $504 4
Indiana (IN) $512 11
West Virginia (WV) $595 2
Massachusetts (MA) $656 1
Nevada (NV) $800 2
New Mexico (NM) $989 1
Florida (FL) $1,084 49
Pennsylvania (PA) $1,116 1
New Hampshire (NH) $1,443 4
Georgia (GA) $1,609 7
Arizona (AZ) $1,727 1

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.