Code: A9572

Description:
Description: Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI
HC RP 111 IN PENETETRTD TO 6MC
INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI
INDIUM IN111 PENTETREOTIDE DIAGNOSTIC PER MILLICURIE
IND111 PENTREOTIDE DOSE 6MCI
IN-111 PENTETREOTIDE/DOSE
RX DX 111In Octreo per Dose
Ind111 Pentetreotide Dose
Related codes:
Code: A9570
IN111 AUTO WBC DX DOSE
Code: A9571
Description: Indium in-111 labeled autologous platelets, diagnostic, per study dose
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
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
State Average # Hospitals In Database
Wyoming (WY) $673 2
New Jersey (NJ) $1,241 2
Illinois (IL) $2,193 1
Minnesota (MN) $2,216 17
Arizona (AZ) $2,435 1
Mississippi (MS) $3,598 5
Maryland (MD) $3,771 6
New Hampshire (NH) $3,926 5
New Mexico (NM) $4,291 2
Maine (ME) $4,611 1
Oregon (OR) $4,865 3
Kentucky (KY) $4,914 5
Vermont (VT) $5,072 2
District of Columbia (DC) $5,088 1
Alabama (AL) $5,428 5
West Virginia (WV) $5,793 4
Wisconsin (WI) $6,269 20
Connecticut (CT) $6,713 7
Oklahoma (OK) $6,770 2
Indiana (IN) $7,016 12
North Dakota (ND) $7,141 4
California (CA) $7,197 65
Rhode Island (RI) $7,500 3
South Carolina (SC) $7,736 4
North Carolina (NC) $7,812 24
Washington (WA) $7,945 4
Virginia (VA) $8,230 4
Tennessee (TN) $8,306 12
New York (NY) $8,470 3
Nebraska (NE) $8,723 9
Ohio (OH) $8,978 9
Missouri (MO) $8,992 10
Delaware (DE) $9,122 1
Louisiana (LA) $9,719 3
Iowa (IA) $10,185 3
Texas (TX) $10,615 35
Georgia (GA) $11,386 12
Massachusetts (MA) $12,333 8
Nevada (NV) $13,020 14
Idaho (ID) $14,066 3
Florida (FL) $14,095 103
Alaska (AK) $14,523 2
Hawaii (HI) $15,367 4
Kansas (KS) $19,902 5
Michigan (MI) $20,639 133
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.