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
Minnesota
Hospital Address Code Price Last Updated
Essentia Health-Duluth (Miller-Dwan Building) 502 E 2Nd St, Duluth A9572 $1,506 [source] 4 years ago
Essentia Health-St. Mary's Medical Center 407 E 3Rd St, Duluth A9572 $1,780 [source] 4 years ago
Abbott Northwestern Hospital , Minneapolis A9572 $2,023 [source] 4 years ago
Buffalo Hospital 303 Catlin St, Buffalo A9572 $2,023 [source] 4 years ago
Cambridge Medical Center 701 Dellwood St, Cambridge A9572 $2,023 [source] 4 years ago
Essentia Health-St. Joseph's Medical Center (Brainerd) 523 N 3Rd St, Brainerd A9572 $4,615 [source] 4 years ago
Hennepin Healthcare 716 South 7Th Street, Minneapolis A9572 $5,449 [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.