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
Michigan
Hospital Address Code Price Last Updated
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren A9576 $2 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield A9576 $2 [source] 4 years ago
St. John Providence 28000 Dequindre Rd, Warren A9576 $2 [source] 4 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester A9576 $2 [source] 4 years ago
William Beaumont Hospital 468 Cadieux Rd, Grosse Pointe A9576 $3 [source] 4 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak A9576 $4 [source] 4 years ago
Dmc Huron Valley - Sinai Hospital 1 William Carls Drive, Commerce Township A9576 $10 [source] 4 years ago
Dmc Children's Hospital Of Michigan 3901 Beaubien Blvd., Detroit A9576 $11 [source] 4 years ago
Dmc Hutzel Women's Hospital 3990 John R Street, Detroit A9576 $11 [source] 4 years ago
Oakwood Healthcare, Inc. 33155 Annapolis St, Wayne A9576 $11 [source] 4 years ago
Oakwood Healthcare Inc Beaumont Service Center, A9576 $11 [source] 4 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn A9576 $11 [source] 4 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn A9576 $11 [source] 4 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn A9576 $11 [source] 4 years ago
Oakwood Healthcare, Inc. 5450 Fort St, Trenton A9576 $11 [source] 4 years ago
Oakwood Healthcare, Inc. 10000 Telegraph Rd, Taylor A9576 $11 [source] 4 years ago
Dmc Sinai-Grace Hospital 6071 West Outer Drive, Detroit A9576 $13 [source] 4 years ago
Karmanos Cancer Institute 4100 John R St, Detroit A9576 $19 [source] 4 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington A9576 $22 [source] 4 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak A9576 $22 [source] 4 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy A9576 $22 [source] 4 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak A9576 $22 [source] 4 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak A9576 $22 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre, Troy A9576 $22 [source] 4 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak A9576 $22 [source] 4 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak A9576 $22 [source] 4 years ago
Botsford General Hospital 28050 Grand River Ave, Farmington A9576 $22 [source] 4 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak A9576 $22 [source] 4 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak A9576 $22 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy A9576 $22 [source] 4 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak A9576 $22 [source] 4 years ago
Dmc Detroit Receiving Hospital 4201 St. Antoine Blvd, Detroit A9576 $214 [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.