Code: A9542

Description:
Description: Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
RP ZEVALN IN 111 UP TO 5MCI
INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI
Related codes:
Code: A9540
TC99M MACRO ALB DX 10MCI
Code: A9541
TC99M SULFUR CO DX 20MCI
Code: A9543
Y90 IBRITUM TIU TX 40MCI
Code: A9544
Description: Iodine i-131 tositumomab, diagnostic, per study dose
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A9545
Description: Iodine i-131 tositumomab, therapeutic, per treatment dose
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A9546
CO57/58 CYANOCOB DX 1UCI
Code: A9547
IN111 OXYQUINO DX 0.5MCI
Code: A9548
IN111 PENTETAT DX 0.5MCI
State Average # Hospitals In Database
New Jersey (NJ) $112 1
West Virginia (WV) $1,296 1
Minnesota (MN) $1,715 13
Wisconsin (WI) $3,173 3
Virginia (VA) $3,302 1
Idaho (ID) $3,509 2
Indiana (IN) $4,838 14
Oklahoma (OK) $4,998 1
Massachusetts (MA) $5,798 2
Connecticut (CT) $6,233 3
North Carolina (NC) $6,597 6
Maryland (MD) $7,000 1
Maine (ME) $8,461 1
New York (NY) $8,475 4
Tennessee (TN) $8,600 4
Iowa (IA) $8,670 1
Nebraska (NE) $8,670 4
California (CA) $8,924 33
Texas (TX) $9,347 5
Missouri (MO) $9,827 2
Georgia (GA) $12,846 2
Kansas (KS) $13,515 2
New Mexico (NM) $15,462 1
Hawaii (HI) $15,840 2
South Carolina (SC) $15,859 2
Louisiana (LA) $17,630 1
Michigan (MI) $18,586 123
Florida (FL) $24,977 11

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.