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
Massachusetts
Hospital Address Code Price Last Updated
Brigham & Womens Hospital, Inc. 75 Francis St, Boston A9572 $1,877 [source] 4 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton A9572 $3,338 [source] 4 years ago
North Shore Medical Center Hospital 81 Highland Ave, Salem A9572 $16,430 [source] 4 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain A9572 $16,430 [source] 4 years ago
Massachusetts General Hospital 55 Fruit St, Boston A9572 $17,818 [source] 4 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls A9572 $19,463 [source] 4 years ago
Saint Vincent Hospital 123 Summer St., Worcester A9572 $21,428 [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.