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
Indiana
Hospital Address Code Price Last Updated
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville A9542 $4,643 [source] 3 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis A9542 $4,643 [source] 3 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon A9542 $4,643 [source] 3 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville A9542 $4,643 [source] 3 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport A9542 $4,643 [source] 3 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem A9542 $4,643 [source] 3 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood A9542 $4,643 [source] 3 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford A9542 $4,643 [source] 3 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester A9542 $4,643 [source] 3 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel A9542 $4,643 [source] 3 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson A9542 $4,643 [source] 3 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis A9542 $4,643 [source] 3 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil A9542 $6,012 [source] 3 years ago
Ascension St Vincent Fishers 13861 Olio Road, A9542 $6,012 [source] 3 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.