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
Georgia
Hospital Address Code Price Last Updated
Murray Medical Center, Inc. 104 Hospital Dr, Chatsworth A9576 $4 [source] 4 years ago
Adventist Health System Georgia, Inc 170 Curtis Pkwy Ne, Calhoun A9576 $4 [source] 4 years ago
Adventhealth Gordon 105 Willowbrook Way Se, Calhoun A9576 $4 [source] 4 years ago
Murray County Memorial Hospital Authority 707 Old Dalton Ellijay Rd, Chatsworth A9576 $4 [source] 4 years ago
Adventist Health System Georgia Inc 1035 Red Bud Rd Ne, Calhoun A9576 $4 [source] 4 years ago
Doctors Hospital Of Augusta 3651 Wheeler Rd, Augusta A9576 $6 [source] 4 years ago
Wellstar Atlanta Medical Center 303 Parkway Dr Ne, Atlanta, Georgia, Atlanta A9576 $7 [source] 4 years ago
Memorial Satilla Health 1900 Tebeau St, Waycross A9576 $15 [source] 4 years ago
Memorial Health 4700 Waters Avenue, Savannah A9576 $16 [source] 4 years ago
Coliseum Health System 350 Hospital Dr, Macon A9576 $34 [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.