Code: A9575

Description:
Description: Injection, gadoterate meglumine, 0.1 ml
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
GADOTERATE MEG 15 ML
GADOTERATE MEG 20 ML
GADOTERATE MEG 5 ML
GADOTERATE MEG 0.1 ML
HC INJECTION, GADOTERATE MEGLUMINE, 0.1 ML
GADOTERATE MEGLUMINE 0.5 MMOL/ML INTRAVENOUS SYRINGE
DOTAREM 15ML VIAL
DOTAREM 20ML VIAL
Dotarem Inj 0.1ml, 20 Ml
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: A9572
IN111 PENTETREOT DX 6MCI
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
Idaho
Hospital Address Code Price Last Updated
St. Joseph Regional Medical Center 415 6Th St, Lewiston A9575 $56 [source] 4 years ago
St. Joseph Regional Medical Center 415 Sixth Street, Lewiston A9575 $56 [source] 4 years ago
Kootenai Health 2003 Kootenai Health Way, Coeur D Alene A9575 $66 [source] 4 years ago
West Valley Medical Center 1717 Arlington Ave., Caldwell A9575 $91 [source] 4 years ago
Eastern Idaho Regional Medical Center 3100 Channing Way, Idaho Falls A9575 $97 [source] 4 years ago
Steele Memorial Medical Center 203 S Daisy St, Salmon A9575 $151 [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.