Code: A9570

Description:

Description: Indium in-111 labeled autologous white blood cells, diagnostic, per study dose
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental

Other Descriptions:

HC INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE

RP INDIUM IN-111 AUTO WBC

ISOTOPE TAGGED WBC PER DOSE

IN-111 WBC DX/STUDY DOSE

RX DX In+AC0-111 WBC Autologous Susp

In111 Auto Wbc Diag/per Dose

Related codes:

Description: Indium in-111 labeled autologous platelets, diagnostic, per study dose
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental

IN111 PENTETREOT DX 6MCI

GADOTERATE MEG 10 ML

PROHANCE MULTIPK 1 ML

MULTIHANCE 5 ML

MULTIHANCE MULTIPAC 1 ML

GAD BASE MR CONT NOS 1ML

State	Average	# Hospitals In Database
Minnesota (MN)	$724	14
Illinois (IL)	$903	1
Mississippi (MS)	$1,283	6
New Jersey (NJ)	$1,298	1
Arizona (AZ)	$1,572	1
Kansas (KS)	$1,833	1
Maryland (MD)	$2,733	6
District of Columbia (DC)	$2,798	1
Kentucky (KY)	$2,805	2
Indiana (IN)	$2,916	11
New York (NY)	$3,180	1
West Virginia (WV)	$3,252	1
Ohio (OH)	$3,426	9
Alabama (AL)	$3,483	4
Missouri (MO)	$3,589	4
Vermont (VT)	$3,782	1
Pennsylvania (PA)	$3,914	2
Oklahoma (OK)	$3,922	2
South Carolina (SC)	$4,094	6
Rhode Island (RI)	$4,406	2
Maine (ME)	$4,516	3
Wisconsin (WI)	$4,827	22
New Hampshire (NH)	$5,058	2
North Dakota (ND)	$5,244	3
North Carolina (NC)	$5,283	23
Delaware (DE)	$5,567	1
California (CA)	$5,576	63
Nevada (NV)	$5,761	8
Texas (TX)	$5,837	23
Tennessee (TN)	$5,935	8
Idaho (ID)	$6,044	4
Georgia (GA)	$6,086	5
Massachusetts (MA)	$6,329	2
Colorado (CO)	$6,463	1
Connecticut (CT)	$6,755	3
Washington (WA)	$7,270	2
Louisiana (LA)	$8,057	3
Michigan (MI)	$8,080	131
Hawaii (HI)	$8,248	3
Virginia (VA)	$8,410	1
Nebraska (NE)	$8,659	7
Iowa (IA)	$9,362	1
Florida (FL)	$10,289	50

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.