Code: A9582

Description:
Description: Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI
IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI
I-123 MIBG DX/STUDY DOSE
I-123 Mibg Dose Up To 15mci
Related codes:
Code: A9580
F18 SOD FLUORID DX 30MCI
Code: A9581
GADOXETATE 10 ML INJ
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
California
Hospital Address Code Price Last Updated
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar A9582 $54 [source] 4 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta A9582 $54 [source] 4 years ago
California Pacific Medical Center - Davies Campus 45 Castro St, San Francisco A9582 $1,727 [source] 4 years ago
California Pacific Medical Center - Van Ness Campus 1101 Van Ness Ave, San Francisco A9582 $1,727 [source] 4 years ago
California Pacific Medical Center - Mission Bernal Campus 3555 Cesar Chavez, San Francisco A9582 $1,727 [source] 4 years ago
Alta Bates Summit Medical Center - Summit Campus 3100 Summit Street, Oakland A9582 $1,870 [source] 4 years ago
Sutter Medical Center Of Sacramento 2825 Capitol Avenue, Sacramento A9582 $1,913 [source] 4 years ago
Sutter Medical Center, Sacramento 2825 Capitol Ave, Sacramento A9582 $1,913 [source] 4 years ago
Sutter Roseville Medical Center 1 Medical Plaza Dr, Roseville A9582 $1,947 [source] 4 years ago
Sutter Health Memorial Medical Center 1700 Coffee Rd, Modesto A9582 $2,620 [source] 4 years ago
Riverside Community Hospital 4445 Magnolia Ave, Riverside A9582 $4,503 [source] 4 years ago
Corona Regional Medical Center 800 S. Main Street, Corona A9582 $4,862 [source] 4 years ago
Temecula Valley Hospital 31700 Temecula Parkway, Temecula A9582 $5,864 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco A9582 $10,254 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville A9582 $10,254 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento A9582 $10,254 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto A9582 $10,254 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro A9582 $10,254 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek A9582 $10,254 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara A9582 $10,254 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento A9582 $10,254 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills A9582 $10,254 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch A9582 $10,254 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon A9582 $10,254 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose A9582 $10,254 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City A9582 $10,254 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville A9582 $10,254 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo A9582 $10,254 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno A9582 $10,254 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco A9582 $10,254 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond A9582 $10,254 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael A9582 $10,254 [source] 4 years ago
Riverside Medical Center 10800 Magnolia Ave, Riverside A9582 $11,390 [source] 4 years ago
Zion Medical Center 4647 Zion Ave, San Diego A9582 $11,390 [source] 4 years ago
West Los Angeles Medical Center 6041 Cadillac Ave, Los Angeles A9582 $11,390 [source] 4 years ago
Los Angeles Medical Center 4867 W Sunset Blvd, Los Angeles A9582 $11,390 [source] 4 years ago
Anaheim Medical Center 3440 E La Palma Ave, Anaheim A9582 $11,390 [source] 4 years ago
Moreno Valley Medical Center 27300 Iris Ave., Moreno Valley A9582 $11,390 [source] 4 years ago
Woodland Hills Medical Center 5601 De Soto Ave, Woodland Hills A9582 $11,390 [source] 4 years ago
South Bay Medical Center 25825 Vermont Ave, Harbor City A9582 $11,390 [source] 4 years ago
Irvine Medical Center 6640 Alton Pkwy, Irvine A9582 $11,390 [source] 4 years ago
Ontario Medical Center 2295 S Vineyard Ave, Ontario A9582 $11,390 [source] 4 years ago
Fontana Medical Center 9961 Sierra Ave, Fontana A9582 $11,390 [source] 4 years ago
Panorama City Medical Center 13651 Willard St, Panorama City A9582 $11,390 [source] 4 years ago
Downey Medical Center 9333 Imperial Hwy, Downey A9582 $11,390 [source] 4 years ago
Baldwin Park Medical Center 1011 Baldwin Park Blvd, Baldwin Park A9582 $11,390 [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.