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
Ohio
Hospital Address Code Price Last Updated
Cleveland Clinic Main Campus 9500 Euclid Ave, Cleveland A9572 $6,322 [source] 4 years ago
Medina Hospital 1000 E. Washington St., Medina A9572 $6,322 [source] 4 years ago
Euclid Hospital 18901 Lakeshore Blvd., Cleveland A9572 $8,622 [source] 4 years ago
Lutheran Hospital 1730 West 25Th Street, Cleveland A9572 $8,622 [source] 4 years ago
Fairview Hospital 18101 Lorain Ave., Cleveland A9572 $8,622 [source] 4 years ago
South Pointe Hospital 20000 Harvard Rd., Cleveland A9572 $8,622 [source] 4 years ago
Hillcrest Hospital 6780 Mayfield Rd., Cleveland A9572 $8,622 [source] 4 years ago
Marymount Hospital 12300 Mccracken Road, Cleveland A9572 $8,622 [source] 4 years ago
Akron General 1 Akron General Ave., Akron A9572 $16,425 [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.