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
Tennessee
Hospital Address Code Price Last Updated
Riverview Regional Medical Center 158 Hospital Drive, Carthage A9582 $1,894 [source] 4 years ago
St. Jude Children's Research Hospital , Memphis A9582 $4,606 [source] 4 years ago
Saint Thomas River Park Hospital, Llc 120 Walnut Commons Ln Ste D, Cookeville A9582 $5,198 [source] 4 years ago
Ascension Saint Thomas Stones River 324 Doolittle Rd, Woodbury A9582 $5,198 [source] 4 years ago
Ascension Saint Thomas Dekalb 520 W Main St, Smithville A9582 $5,198 [source] 4 years ago
Saint Thomas Hickman Hospital 1518 Highway 100, Centerville A9582 $5,198 [source] 4 years ago
Ascension Saint Thomas Highlands 401 Sewell Dr, Sparta A9582 $5,198 [source] 4 years ago
Sumner Regional Medical Center 555 Hartsville Pike, Gallatin A9582 $5,210 [source] 4 years ago
Trousdale Medical Center 500 Church Street, Hartsville A9582 $10,077 [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.