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
North Carolina
Hospital Address Code Price Last Updated
Cone Health Moses Cone Hospital 1121 North Church St Entrance A, Greensboro A9570 $1,663 [source] 4 years ago
Atrium Health University 8800 N. Tryon St. , Charlotte A9570 $3,681 [source] 4 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte A9570 $3,696 [source] 4 years ago
Atrium Health Lincoln 433 Mcalister Road , Lincolnton A9570 $3,696 [source] 4 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte A9570 $3,859 [source] 4 years ago
Atrium Health Pineville 10628 Park Road , Charlotte A9570 $3,999 [source] 4 years ago
Atrium Health Cabarrus 920 Church Street North , Concord A9570 $4,029 [source] 4 years ago
Atrium Health Union 600 Hospital Drive , Monroe A9570 $4,524 [source] 4 years ago
Wilson Medical Center 1705 Tarboro Street Sw, Wilson A9570 $4,729 [source] 4 years ago
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington A9570 $4,751 [source] 4 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville A9570 $4,751 [source] 4 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro A9570 $4,751 [source] 4 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro A9570 $4,751 [source] 4 years ago
Moses Cone Hospital 1131D N Church St, Greensboro A9570 $4,751 [source] 4 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby A9570 $5,286 [source] 4 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle A9570 $5,603 [source] 4 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro A9570 $5,980 [source] 4 years ago
Mcdowell Hospital , Marion A9570 $7,835 [source] 4 years ago
Blue Ridge Regional Hospital 125 Hospital Dr, Spruce Pine A9570 $7,835 [source] 4 years ago
Angel Medical Center 120 Riverview St, Franklin A9570 $7,835 [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 ยง180.