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
Indiana
Hospital Address Code Price Last Updated
Terre Haute Regional Hospital 3901 S 7Th St, Terre Haute A9581 $718 [source] 4 years ago
Franciscan Health Indianapolis , Indianapolis A9581 $1,199 [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.