Code: A9577

Description:

Description: Injection, gadobenate dimeglumine (multihance), per ml
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental

Other Descriptions:

MULTIHANCE 10 ML

MULTIHANCE 20 ML

MULTIHANCE 1 ML

HC INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER M

GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION

HC CM GADOLINIUM PER ML

GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN

MULTIHANCE CONTRAST 20ML

Inj Multihance 20 Ml, Per 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: A9576

PROHANCE MULTIPK 1 ML

Code: A9578

MULTIHANCE MULTIPAC 1 ML

Code: A9579

GAD BASE MR CONT NOS 1ML

Idaho

Hospital	Address	Code	Price	Last Updated
St. Joseph Regional Medical Center	415 6Th St, Lewiston	A9577	$12 [source]	4 years ago
Kootenai Health	2003 Kootenai Health Way, Coeur D Alene	A9577	$82 [source]	4 years ago
West Valley Medical Center	1717 Arlington Ave., Caldwell	A9577	$110 [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.