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

Idaho

Hospital	Address	Code	Price	Last Updated
Shoshone Medical Center	25 Jacobs Gulch Rd, Kellogg	A9576	$7 [source]	4 years ago
Eastern Idaho Regional Medical Center	3100 Channing Way, Idaho Falls	A9576	$25 [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.