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
Nebraska
Hospital Address Code Price Last Updated
Chi Health Good Samaritan 10 E 31St St, Kearney A9528 $58 [source] 4 years ago
Chi Health Lakeside 17201 Wright St, Omaha A9528 $58 [source] 4 years ago
Chi Health Midlands 11111 S 84Th St, Papillion A9528 $58 [source] 4 years ago
Chi Health Creighton University Medical Center - Bergan Mercy 7500 Mercy Rd, Omaha A9528 $58 [source] 4 years ago
Chi Health Immanuel 7101 Newport Ave, Omaha A9528 $58 [source] 4 years ago
Chi Health St. Francis 2116 W Faidley Ave, Grand Island A9528 $58 [source] 4 years ago
Chi Health St. Mary 1301 Grundman Blvd, Nebraska City A9528 $78 [source] 4 years ago
Chi Health St. Elizabeth 555 S. 70Th St., Lincoln A9528 $100 [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.