Code: A9581

Description:
Description: Injection, gadoxetate disodium, 1 ml
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
GADOXETATE 1 ML INJ
HC EOVIST BAYER NDC=50419032005 PKG=10ML, PER 1 ML
GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION
GADOBUTROL 15 MMOL/15 ML VIAL
GADOBUTROL 10 MMOL/10 ML VIAL
GADOBUTROL 7.5 MMOL/7.5 ML VL
GADOBUTROL 2 MMOL/2 ML VIAL
INJ GADOXETATE DISODIUM 1ML
Inj Eovist Gadoxetate Disodium, Per 1ml
Related codes:
Code: A9580
F18 SOD FLUORID DX 30MCI
Code: A9582
I123 IOBENGUANE DX 15MCI
Code: A9583
GADOFOSVESET 15 ML INJ
Code: A9584
I123 IOFLUPANE DX 5MCI
Code: A9585
GADOBUTROL 7.5 ML INJ
Code: A9586
F18 FLORBETAPIR DX 10MCI
Code: A9587
GA68 DOTATATE DX 0.1MCI
Code: A9588
F18 FLUCICLOVINE DX 1MCI
Code: A9589
Description: Instillation, hexaminolevulinate hydrochloride, 100 mg
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
State Average # Hospitals In Database
Minnesota (MN) $13 18
New Jersey (NJ) $18 1
Oregon (OR) $24 1
New York (NY) $25 3
North Dakota (ND) $26 3
Washington (WA) $41 2
Wisconsin (WI) $44 12
Delaware (DE) $46 1
Alabama (AL) $46 2
Mississippi (MS) $47 6
Maine (ME) $60 1
Ohio (OH) $64 10
Iowa (IA) $65 3
Nebraska (NE) $65 11
Michigan (MI) $104 129
North Carolina (NC) $124 20
Oklahoma (OK) $145 2
California (CA) $163 45
Tennessee (TN) $167 8
Pennsylvania (PA) $196 4
Kentucky (KY) $236 3
South Carolina (SC) $300 2
Connecticut (CT) $309 6
West Virginia (WV) $319 2
Vermont (VT) $328 1
Georgia (GA) $329 15
District of Columbia (DC) $333 1
Utah (UT) $334 1
Idaho (ID) $367 6
Indiana (IN) $436 9
Hawaii (HI) $448 1
Massachusetts (MA) $451 7
Kansas (KS) $467 7
Florida (FL) $598 79
Alaska (AK) $613 2
Missouri (MO) $633 8
Texas (TX) $712 19
New Hampshire (NH) $1,078 2
Virginia (VA) $1,488 3
Nevada (NV) $1,974 4
Louisiana (LA) $3,140 2

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.