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

Arizona

Hospital	Address	Code	Price	Last Updated
Abrazo Arrowhead Campus	18701 North 67Th Ave., Glendale	A9576	$5 [source]	4 years ago
Carondelet Holy Cross Hospital	1171 W. Target Range Road, Nogales	A9576	$5 [source]	4 years ago
Abrazo Central Hospital	2000 West Bethany Home Rd., Phoenix	A9576	$7 [source]	4 years ago
Abrazo West Campus	13677 West Mcdowell Rd., Peoria	A9576	$11 [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.