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
Maryland
Hospital Address Code Price Last Updated
The Good Samaritan Hospital 5601 Loch Raven Blvd, Baltimore A9582 $7,181 [source] 4 years ago
Harbor Hospital 3001 S Hanover St, Brooklyn A9582 $7,651 [source] 4 years ago
The Union Memorial Hospital 201 E University Pkwy, Baltimore A9582 $10,545 [source] 4 years ago
Sinai Hospital Of Baltimore 2401 W Belvedere Ave, Baltimore A9582 $10,611 [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.