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
Texas
Hospital Address Code Price Last Updated
Texas Children's Hospital 6621 Fannin St Houston, Houston A9582 $3,172 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg A9582 $8,062 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen A9582 $8,062 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen A9582 $8,062 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco A9582 $11,465 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo A9582 $11,836 [source] 4 years ago
Ascension Providence 6901 Medical Pkwy, Woodway A9582 $12,526 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson A9582 $15,209 [source] 4 years ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills A9582 $16,836 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen A9582 $18,616 [source] 4 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas A9582 $18,988 [source] 4 years ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving A9582 $20,937 [source] 4 years ago
Medical City Lewisville 500 W Main St, Lewisville A9582 $23,238 [source] 4 years ago
Medical City Denton 3535 S Interstate 35, Corinth A9582 $28,438 [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.