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
Georgia
Hospital Address Code Price Last Updated
Emory University Hospital Decatur 2165 N Decatur Rd , Decatur A9572 $3,888 [source] 4 years ago
Emory University Hospital 1364 Clifton Rd Ne, Atlanta A9572 $7,419 [source] 4 years ago
Fairview Park Hospital 200 Industrial Boulevard, Dublin A9572 $7,517 [source] 4 years ago
Coliseum Health System 350 Hospital Dr, Macon A9572 $8,382 [source] 4 years ago
Wellstar Atlanta Medical Center 303 Parkway Dr Ne, Atlanta, Georgia, Atlanta A9572 $10,244 [source] 4 years ago
Eastside Medical Center 1700 Medical Way, Snellville A9572 $10,706 [source] 4 years ago
Redmond Regional Medical Center 501 Redmond Rd, Rome A9572 $11,998 [source] 4 years ago
Cartersville Medical Center 960 Joe Frank Harris Pkwy, Cartersville A9572 $13,350 [source] 4 years ago
Doctors Hospital Of Augusta 3651 Wheeler Rd, Augusta A9572 $15,928 [source] 4 years ago
Memorial Health 4700 Waters Avenue, Savannah A9572 $18,249 [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.