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
Nebraska
Hospital Address Code Price Last Updated
Chi Health St. Elizabeth 555 S. 70Th St., Lincoln A9579 $90 [source] 4 years ago
Chi Health Good Samaritan 10 E 31St St, Kearney A9579 $90 [source] 4 years ago
Chi Health Lakeside 17201 Wright St, Omaha A9579 $90 [source] 4 years ago
Chi Health Schuyler 1721 Colfax St, Schuyler A9579 $90 [source] 4 years ago
Chi Health Midlands 11111 S 84Th St, Papillion A9579 $90 [source] 4 years ago
Chi Health Plainview 704 N 3Rd St, Plainview A9579 $90 [source] 4 years ago
Chi Health St. Mary 1301 Grundman Blvd, Nebraska City A9579 $90 [source] 4 years ago
Chi Health Creighton University Medical Center - Bergan Mercy 7500 Mercy Rd, Omaha A9579 $90 [source] 4 years ago
Chi Health Immanuel 7101 Newport Ave, Omaha A9579 $90 [source] 4 years ago
Chi Health St. Francis 2116 W Faidley Ave, Grand Island A9579 $90 [source] 4 years ago
Chi Health Nebraska Heart 7500 So. 91St St., Lincoln A9579 $90 [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.