Code: A9584

Description:
Description: Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC IODINE I-123 IOFLUPANE
HC RP DAT SCAN I 123 IOFLUPANE
IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI
I-123 IOFLUPANE (DATASCAN) DOSE
Ioflupane I-123 Up To 5 Mci
Related codes:
Code: A9580
F18 SOD FLUORID DX 30MCI
Code: A9581
GADOXETATE 10 ML INJ
Code: A9582
I123 IOBENGUANE DX 15MCI
Code: A9583
GADOFOSVESET 15 ML INJ
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
Michigan
Hospital Address Code Price Last Updated
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren A9584 $1,438 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield A9584 $1,475 [source] 4 years ago
St. John Providence 28000 Dequindre Rd, Warren A9584 $1,551 [source] 4 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester A9584 $1,566 [source] 4 years ago
Mclaren Port Huron 1221 Pine Grove Ave, Port Huron A9584 $1,742 [source] 4 years ago
Mclaren Flint 401 S Ballenger Hwy, Flint A9584 $2,332 [source] 4 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak A9584 $2,428 [source] 4 years ago
Mclaren Bay Region 1900 Columbus Ave, Bay City A9584 $2,557 [source] 4 years ago
Mclaren Bay Special Care Hospital 3250 E Midland Rd Suite 1, Bay City A9584 $2,557 [source] 4 years ago
Mclaren Northern Michigan 416 Connable Ave, Petoskey A9584 $2,869 [source] 4 years ago
William Beaumont Hospital 468 Cadieux Rd, Grosse Pointe A9584 $3,122 [source] 4 years ago
Mclaren Macomb 1000 Harrington St, Mount Clemens A9584 $3,515 [source] 4 years ago
Up Health System – Marquette 580 West College Avenue, Marquette A9584 $4,798 [source] 4 years ago
Mclaren Lapeer Region 1375 N Main St, Lapeer A9584 $4,851 [source] 4 years ago
Oakwood Healthcare, Inc. 33155 Annapolis St, Wayne A9584 $7,221 [source] 4 years ago
Oakwood Healthcare, Inc. 5450 Fort St, Trenton A9584 $7,221 [source] 4 years ago
Oakwood Healthcare, Inc. 10000 Telegraph Rd, Taylor A9584 $7,221 [source] 4 years ago
Oakwood Healthcare Inc Beaumont Service Center, A9584 $7,221 [source] 4 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak A9584 $14,442 [source] 4 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy A9584 $14,442 [source] 4 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak A9584 $14,442 [source] 4 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak A9584 $14,442 [source] 4 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak A9584 $14,442 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre, Troy A9584 $14,442 [source] 4 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak A9584 $14,442 [source] 4 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington A9584 $14,442 [source] 4 years ago
Botsford General Hospital 28050 Grand River Ave, Farmington A9584 $14,442 [source] 4 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak A9584 $14,442 [source] 4 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak A9584 $14,442 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy A9584 $14,442 [source] 4 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak A9584 $14,442 [source] 4 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn A9584 $15,958 [source] 4 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn A9584 $15,958 [source] 4 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn A9584 $15,958 [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.