Code: A9579

Description:
Description: Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
GAD MR CONT NOS 5 ML
GAD MR CONT NOS 15 ML
GAD MR CONT NOS 20 ML
GAD MR CONT NOS 10 ML
HC INJECTION GADOLINIUM BASED MR CONTRAST NOS ML
INJECTION, GADOLINIUM, PER ML
GADOTERIDOL 279.3 MG/ML INTRAVENOUS SYRINGE
GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION
GADOLINIUM PER ML
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: A9577
MULTIHANCE 5 ML
Code: A9578
MULTIHANCE MULTIPAC 1 ML
Idaho
Hospital Address Code Price Last Updated
North Canyon Medical Center 267 North Canyon Drive, Gooding A9579 $9 [source] 4 years ago
Minidoka Medical Center 1308 8Th St, Suite 1, Rupert A9579 $13 [source] 4 years ago
Bear Lake Memorial Hospital 164 S 5Th St, Montpelier A9579 $52 [source] 4 years ago
Lost Rivers Medical Center 551 Highland Dr, Arco A9579 $62 [source] 4 years ago
Kootenai Health 2003 Kootenai Health Way, Coeur D Alene A9579 $160 [source] 4 years ago
West Valley Medical Center 3720 S Indiana Ave, Caldwell A9579 $237 [source] 4 years ago
Boundary Community Hospital 6640 Kaniksu St, Bonners Ferry A9579 $308 [source] 4 years ago
Eastern Idaho Regional Medical Center 3100 Channing Way, Idaho Falls A9579 $765 [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.