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
Michigan
Hospital Address Code Price Last Updated
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren A9570 $401 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield A9570 $411 [source] 4 years ago
St. John Providence 28000 Dequindre Rd, Warren A9570 $432 [source] 4 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester A9570 $436 [source] 4 years ago
Mclaren Central Michigan 1221 South Dr, Mount Pleasant A9570 $1,043 [source] 4 years ago
Mclaren Bay Special Care Hospital 3250 E Midland Rd Suite 1, Bay City A9570 $1,119 [source] 4 years ago
Mclaren Bay Region 1900 Columbus Ave, Bay City A9570 $1,119 [source] 4 years ago
Up Health System – Marquette 580 West College Avenue, Marquette A9570 $1,290 [source] 4 years ago
Mclaren Macomb 1000 Harrington St, Mount Clemens A9570 $1,680 [source] 4 years ago
Mclaren Northern Michigan 416 Connable Ave, Petoskey A9570 $1,719 [source] 4 years ago
Mclaren Lapeer Region 1375 N Main St, Lapeer A9570 $1,721 [source] 4 years ago
William Beaumont Hospital 468 Cadieux Rd, Grosse Pointe A9570 $2,635 [source] 4 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak A9570 $2,635 [source] 4 years ago
Karmanos Cancer Institute 4100 John R St, Detroit A9570 $2,662 [source] 4 years ago
Midmichigan Medical Center Gladwin , Gladwin A9570 $2,956 [source] 4 years ago
Midmichigan Medical Center Gratiot 300 E Warwick Dr, Alma A9570 $3,022 [source] 4 years ago
Mclaren Greater Lansing 401 W Greenlawn Ave, Lansing A9570 $3,047 [source] 4 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn A9570 $5,124 [source] 4 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn A9570 $5,124 [source] 4 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn A9570 $5,124 [source] 4 years ago
Oakwood Healthcare, Inc. 33155 Annapolis St, Wayne A9570 $5,124 [source] 4 years ago
Oakwood Healthcare, Inc. 5450 Fort St, Trenton A9570 $5,124 [source] 4 years ago
Oakwood Healthcare, Inc. 10000 Telegraph Rd, Taylor A9570 $5,124 [source] 4 years ago
Oakwood Healthcare Inc Beaumont Service Center, A9570 $5,124 [source] 4 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak A9570 $10,248 [source] 4 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy A9570 $10,248 [source] 4 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak A9570 $10,248 [source] 4 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak A9570 $10,248 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre, Troy A9570 $10,248 [source] 4 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak A9570 $10,248 [source] 4 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak A9570 $10,248 [source] 4 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington A9570 $10,248 [source] 4 years ago
Botsford General Hospital 28050 Grand River Ave, Farmington A9570 $10,248 [source] 4 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak A9570 $10,248 [source] 4 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak A9570 $10,248 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy A9570 $10,248 [source] 4 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak A9570 $10,248 [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.