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

New Hampshire

Hospital	Address	Code	Price	Last Updated
Portsmouth Regional Hospital	333 Borthwick Ave, Portsmouth	A9572	$2,346 [source]	4 years ago
Parkland Medical Center	1 Parkland Dr, Derry	A9572	$2,671 [source]	4 years ago
Frisbie Memorial Hospital	11 Whitehall Road, Rochester	A9572	$9,595 [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.