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
Missouri
Hospital Address Code Price Last Updated
Saint Luke’s East Hospital 100 Ne Saint Luke's Blvd, Lees Summit A9572 $3,306 [source] 4 years ago
Lee's Summit Medical Center 2100 Se Blue Parkway, Lees Summit A9572 $3,401 [source] 4 years ago
Saint Luke’s Hospital 4401 Wornall Rd, Kansas City A9572 $4,352 [source] 4 years ago
Saint Luke’s North Hospital 5830 Nw Barry Rd, Kansas City A9572 $6,661 [source] 4 years ago
Hedrick Medical Center 2799 N Washington St, Chillicothe A9572 $9,991 [source] 4 years ago
Belton Regional Medical Center 17065 S. 71 Highway, Belton A9572 $13,421 [source] 4 years ago
Centerpoint Medical Center 19600 East 39Th Street, Independence A9572 $14,197 [source] 4 years ago
Research Medical Center 2316 E Meyer Blvd, Kansas City A9572 $15,594 [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 §180.