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

Colorado

Hospital	Address	Code	Price	Last Updated
Colorado Plains Medical Center	1000 Lincoln Street, Fort Morgan	A9582	$5,670 [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.