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
Nevada
Hospital Address Code Price Last Updated
Valley Hospital Medical Center 620 Shadow Lane, Las Vegas A9572 $3,691 [source] 4 years ago
Summerlin Hospital Medical Center 657 Town Center Dr, Las Vegas A9572 $8,679 [source] 4 years ago
Desert Springs Hospital 2075 E Flamingo Rd, Las Vegas A9572 $9,921 [source] 4 years ago
Carson Valley Medical Center 1107 Hwy 395, Gardnerville A9572 $10,718 [source] 4 years ago
Spring Valley Medical Center 5400 S Rainbow Blvd, Las Vegas A9572 $12,665 [source] 4 years ago
Northern Nevada Medical Center 2375 E Prater Way, Sparks A9572 $12,681 [source] 4 years ago
Henderson Hospital 1050 West Galleria Drive, Henderson A9572 $13,266 [source] 4 years ago
Centennial Hills Hospital Medical Center 6900 N Durango Drive, Las Vegas A9572 $13,266 [source] 4 years ago
Renown Regional Medical Center 1155 Mill Street, Reno A9572 $14,685 [source] 4 years ago
Renown South Meadows Medical Center 10101 Double R Blvd, Reno A9572 $14,685 [source] 4 years ago
Mountainview Hospital 3100 N Tenaya Way, Las Vegas A9572 $16,326 [source] 4 years ago
Southern Hills Hospital & Medical Center 9300 W Sunset Rd, Las Vegas A9572 $17,689 [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.