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
Minnesota
Hospital Address Code Price Last Updated
Abbott Northwestern Hospital , Minneapolis A9542 $1,853 [source] 3 years ago
Buffalo Hospital 303 Catlin St, Buffalo A9542 $1,853 [source] 3 years ago
Cambridge Medical Center 701 Dellwood St, Cambridge A9542 $1,853 [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.