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

Tennessee

Hospital	Address	Code	Price	Last Updated
Saint Thomas River Park Hospital, Llc	120 Walnut Commons Ln Ste D, Cookeville	A9584	$3,036 [source]	4 years ago
Southern Tennessee Regional Health System - Winchester	185 Hospital Road, Winchester	A9584	$7,703 [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.