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:

Code: A9571

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

Code: A9572

IN111 PENTETREOT DX 6MCI

Code: A9575

GADOTERATE MEG 10 ML

Code: A9576

PROHANCE MULTIPK 1 ML

Code: A9577

MULTIHANCE 5 ML

Code: A9578

MULTIHANCE MULTIPAC 1 ML

Code: A9579

GAD BASE MR CONT NOS 1ML

Connecticut

Hospital	Address	Code	Price	Last Updated
Danbury Hospital	24 Hospital Ave, Danbury	A9570	$4,016 [source]	4 years ago
Middlesex Hospital	28 Crescent St, Middletown	A9570	$5,189 [source]	4 years ago
Middlesex Hospital	520 Saybrook Rd Ste N100, Middletown	A9570	$11,059 [source]	4 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.