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
Michigan
Hospital Address Code Price Last Updated
William Beaumont Hospital 468 Cadieux Rd, Grosse Pointe A9542 $1,851 [source] 3 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak A9542 $1,851 [source] 3 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren A9542 $3,493 [source] 3 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield A9542 $3,582 [source] 3 years ago
St. John Providence 28000 Dequindre Rd, Warren A9542 $3,767 [source] 3 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester A9542 $3,804 [source] 3 years ago
Karmanos Cancer Institute 4100 John R St, Detroit A9542 $5,046 [source] 3 years ago
Mclaren Oakland 50 N Perry St, Pontiac A9542 $5,093 [source] 3 years ago
Mclaren Lapeer Region 1375 N Main St, Lapeer A9542 $6,000 [source] 3 years ago
Mclaren Flint 401 S Ballenger Hwy, Flint A9542 $6,598 [source] 3 years ago
Mclaren Macomb 1000 Harrington St, Mount Clemens A9542 $7,938 [source] 3 years ago
Up Health System – Marquette 580 West College Avenue, Marquette A9542 $8,432 [source] 3 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn A9542 $11,314 [source] 3 years ago
Oakwood Healthcare Inc Beaumont Service Center, A9542 $11,314 [source] 3 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn A9542 $11,314 [source] 3 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn A9542 $11,314 [source] 3 years ago
Oakwood Healthcare, Inc. 33155 Annapolis St, Wayne A9542 $11,314 [source] 3 years ago
Oakwood Healthcare, Inc. 5450 Fort St, Trenton A9542 $11,314 [source] 3 years ago
Oakwood Healthcare, Inc. 10000 Telegraph Rd, Taylor A9542 $11,314 [source] 3 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington A9542 $22,628 [source] 3 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak A9542 $22,628 [source] 3 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy A9542 $22,628 [source] 3 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak A9542 $22,628 [source] 3 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak A9542 $22,628 [source] 3 years ago
William Beaumont Hospital 44201 Dequindre, Troy A9542 $22,628 [source] 3 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak A9542 $22,628 [source] 3 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak A9542 $22,628 [source] 3 years ago
Botsford General Hospital 28050 Grand River Ave, Farmington A9542 $22,628 [source] 3 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak A9542 $22,628 [source] 3 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak A9542 $22,628 [source] 3 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy A9542 $22,628 [source] 3 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak A9542 $22,628 [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 §180.