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
Connecticut
Hospital Address Code Price Last Updated
Middlesex Hospital 28 Crescent St, Middletown A9572 $918 [source] 4 years ago
Norwalk Hospital 40 Prospect Ave, Norwalk A9572 $2,112 [source] 4 years ago
Danbury Hospital 24 Hospital Ave, Danbury A9572 $3,507 [source] 4 years ago
The Hospital Of Central Connecticut 100 Grand St, Emergency Department, New Britain A9572 $5,008 [source] 4 years ago
William W Backus Hospital 326 Washington St, Norwich A9572 $7,997 [source] 4 years ago
St Vincent's Medical Center 2600 Park Ave, Unit 1M, Bridgeport A9572 $9,088 [source] 4 years ago
Middlesex Hospital 520 Saybrook Rd Ste N100, Middletown A9572 $18,361 [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.