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
Tennessee
Hospital Address Code Price Last Updated
Riverview Regional Medical Center 158 Hospital Drive, Carthage A9570 $928 [source] 4 years ago
Sumner Regional Medical Center 555 Hartsville Pike, Gallatin A9570 $2,553 [source] 4 years ago
St. Jude Children's Research Hospital , Memphis A9570 $4,478 [source] 4 years ago
Trousdale Medical Center 500 Church Street, Hartsville A9570 $4,937 [source] 4 years ago
Ascension Saint Thomas Stones River 324 Doolittle Rd, Woodbury A9570 $8,645 [source] 4 years ago
Ascension Saint Thomas Dekalb 520 W Main St, Smithville A9570 $8,645 [source] 4 years ago
Saint Thomas Hickman Hospital 1518 Highway 100, Centerville A9570 $8,645 [source] 4 years ago
Ascension Saint Thomas Highlands 401 Sewell Dr, Sparta A9570 $8,645 [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.