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

Utah

Hospital	Address	Code	Price	Last Updated
Mountainstar Healthcare	6985 Union Park Center, Suite 500, Midvale	A9579	$120 [source]	4 years ago
Castleview Hospital	300 North Hospital Drive, Price	A9579	$200 [source]	4 years ago
Moab Regional Hospital	450 Williams Way, Moab	A9579	$230 [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.