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
North Carolina
Hospital Address Code Price Last Updated
Cone Health Moses Cone Hospital 1121 North Church St Entrance A, Greensboro A9572 $2,939 [source] 4 years ago
Moses Cone Hospital 1131D N Church St, Greensboro A9572 $5,877 [source] 4 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro A9572 $5,877 [source] 4 years ago
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington A9572 $5,877 [source] 4 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro A9572 $5,877 [source] 4 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville A9572 $5,877 [source] 4 years ago
Atrium Health University 8800 N. Tryon St. , Charlotte A9572 $5,971 [source] 4 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte A9572 $5,995 [source] 4 years ago
Atrium Health Lincoln 433 Mcalister Road , Lincolnton A9572 $5,995 [source] 4 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte A9572 $6,259 [source] 4 years ago
Atrium Health Pineville 10628 Park Road , Charlotte A9572 $6,487 [source] 4 years ago
Atrium Health Cabarrus 920 Church Street North , Concord A9572 $6,535 [source] 4 years ago
Atrium Health Union 600 Hospital Drive , Monroe A9572 $7,338 [source] 4 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby A9572 $8,573 [source] 4 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle A9572 $9,089 [source] 4 years ago
Mcdowell Hospital , Marion A9572 $9,658 [source] 4 years ago
Blue Ridge Regional Hospital 125 Hospital Dr, Spruce Pine A9572 $9,658 [source] 4 years ago
Angel Medical Center 120 Riverview St, Franklin A9572 $9,658 [source] 4 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro A9572 $9,700 [source] 4 years ago
Harris Regional Hospital 68 Hospital Road, Sylva A9572 $10,325 [source] 4 years ago
Rutherford Regional Health System 288 S. Ridgecrest Avenue, Rutherfordton A9572 $14,942 [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.