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
Wisconsin
Hospital Address Code Price Last Updated
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff A9582 $1 [source] 4 years ago
River Falls Area Hospital , River Falls A9582 $78 [source] 4 years ago
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy A9582 $7,920 [source] 4 years ago
Aurora Medical Center Kenosha 10400 75Th St, Kenosha A9582 $7,920 [source] 4 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton A9582 $7,920 [source] 4 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh A9582 $7,920 [source] 4 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee A9582 $7,920 [source] 4 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette A9582 $7,920 [source] 4 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc A9582 $7,920 [source] 4 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay A9582 $7,920 [source] 4 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee A9582 $7,920 [source] 4 years ago
Aurora Sheboygan Memorial Medical Center 2629 N 7Th St, Sheboygan A9582 $7,920 [source] 4 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton A9582 $9,423 [source] 4 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee A9582 $18,368 [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.