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
Wisconsin
Hospital Address Code Price Last Updated
River Falls Area Hospital , River Falls A9584 $413 [source] 4 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids A9584 $3,677 [source] 4 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau A9584 $3,677 [source] 4 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, A9584 $3,677 [source] 4 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton A9584 $3,939 [source] 4 years ago
Aurora Sheboygan Memorial Medical Center 2629 N 7Th St, Sheboygan A9584 $4,710 [source] 4 years ago
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy A9584 $4,710 [source] 4 years ago
Aurora Lakeland Medical Center W3930 County Road Nn, Elkhorn A9584 $4,710 [source] 4 years ago
Aurora Medical Center Burlington 252 Mchenry St, Burlington A9584 $4,710 [source] 4 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay A9584 $4,710 [source] 4 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc A9584 $4,710 [source] 4 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette A9584 $4,710 [source] 4 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee A9584 $4,710 [source] 4 years ago
Aurora West Allis Medical Center 8901 W Lincoln Ave, Milwaukee A9584 $4,710 [source] 4 years ago
Aurora Medical Center Of Washington County 1032 E Sumner St, Hartford A9584 $4,710 [source] 4 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh A9584 $4,710 [source] 4 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton A9584 $4,710 [source] 4 years ago
Aurora Medical Center Kenosha 10400 75Th St, Kenosha A9584 $4,710 [source] 4 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee A9584 $7,678 [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.