Code: A9576

Description:
Description: Injection, gadoteridol, (prohance multipack), per ml
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML
GADOTERIDOL INJ 20ML
GADOTERIDOL INJ 5 ML
GADOTERIDOL INJ 10 ML
GADOTERIDOL PER 1ML
GADOTERIDOL PER ML
GADOTERIDOL (PROHANCE)PER
GADOTERIDOL (PROHANCE)
Gad-base Mr Contrast Nos,1ml
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: A9575
GADOTERATE MEG 10 ML
Code: A9577
MULTIHANCE 5 ML
Code: A9578
MULTIHANCE MULTIPAC 1 ML
Code: A9579
GAD BASE MR CONT NOS 1ML
State Average # Hospitals In Database
Washington (WA) $3 2
New York (NY) $3 3
Wisconsin (WI) $3 5
Illinois (IL) $6 7
Arizona (AZ) $7 4
Mississippi (MS) $7 2
Georgia (GA) $10 15
Idaho (ID) $19 3
Ohio (OH) $20 6
Michigan (MI) $20 124
Kansas (KS) $24 4
California (CA) $33 48
Wyoming (WY) $33 2
Florida (FL) $38 54
Indiana (IN) $51 4
Oklahoma (OK) $55 4
North Carolina (NC) $73 2
South Carolina (SC) $74 1
Kentucky (KY) $83 4
Texas (TX) $157 37
New Hampshire (NH) $182 2
Vermont (VT) $195 1
Tennessee (TN) $206 7
District of Columbia (DC) $281 1
West Virginia (WV) $327 2
Nevada (NV) $335 6

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.