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
Texas
Hospital Address Code Price Last Updated
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston A9542 $2,284 [source] 3 years ago
Ascension Providence 6901 Medical Pkwy, Woodway A9542 $7,425 [source] 3 years ago
Palestine Regional Medical Center 2900 South Loop 256, Palestine A9542 $11,500 [source] 3 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas A9542 $23,243 [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.