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
Ohio
Hospital Address Code Price Last Updated
Cleveland Clinic Main Campus 9500 Euclid Ave, Cleveland A9584 $4,936 [source] 4 years ago
Medina Hospital 1000 E. Washington St., Medina A9584 $4,936 [source] 4 years ago
Euclid Hospital 18901 Lakeshore Blvd., Cleveland A9584 $9,114 [source] 4 years ago
Lutheran Hospital 1730 West 25Th Street, Cleveland A9584 $9,114 [source] 4 years ago
Fairview Hospital 18101 Lorain Ave., Cleveland A9584 $9,114 [source] 4 years ago
South Pointe Hospital 20000 Harvard Rd., Cleveland A9584 $9,114 [source] 4 years ago
Hillcrest Hospital 6780 Mayfield Rd., Cleveland A9584 $9,114 [source] 4 years ago
Marymount Hospital 12300 Mccracken Road, Cleveland A9584 $9,114 [source] 4 years ago
Akron General 1 Akron General Ave., Akron A9584 $9,473 [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.