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
Wisconsin
Hospital Address Code Price Last Updated
River Falls Area Hospital , River Falls A9579 $1 [source] 4 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton A9579 $2 [source] 4 years ago
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff A9579 $3 [source] 4 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee A9579 $5 [source] 4 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand A9579 $10 [source] 4 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids A9579 $13 [source] 4 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, A9579 $13 [source] 4 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau A9579 $13 [source] 4 years ago
Tomah Memorial Hospital 501 Gopher Dr, Tomah A9579 $24 [source] 4 years ago
Watertown Regional Medical Center 125 Hospital Drive, Watertown A9579 $25 [source] 4 years ago
Essentia Health St. Mary's Hospital-Superior 3500 Tower Ave, Superior A9579 $30 [source] 4 years ago
Prairie Ridge Health 1515 Park Ave, Columbus A9579 $89 [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.