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
Ohio
Hospital Address Code Price Last Updated
Cleveland Clinic Main Campus 9500 Euclid Ave, Cleveland A9570 $2,550 [source] 4 years ago
Medina Hospital 1000 E. Washington St., Medina A9570 $2,550 [source] 4 years ago
Euclid Hospital 18901 Lakeshore Blvd., Cleveland A9570 $3,131 [source] 4 years ago
Lutheran Hospital 1730 West 25Th Street, Cleveland A9570 $3,131 [source] 4 years ago
Fairview Hospital 18101 Lorain Ave., Cleveland A9570 $3,131 [source] 4 years ago
South Pointe Hospital 20000 Harvard Rd., Cleveland A9570 $3,131 [source] 4 years ago
Hillcrest Hospital 6780 Mayfield Rd., Cleveland A9570 $3,131 [source] 4 years ago
Marymount Hospital 12300 Mccracken Road, Cleveland A9570 $3,131 [source] 4 years ago
Akron General 1 Akron General Ave., Akron A9570 $6,949 [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.