Code: A9586

Description:

Description: Florbetapir f18, diagnostic, per study dose, up to 10 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental

Other Descriptions:

HC FLORBETAPIR F-18

FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI

Florbetapir F18 Amyvid

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: A9584

I123 IOFLUPANE DX 5MCI

Code: A9585

GADOBUTROL 7.5 ML INJ

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
Ascension Calumet Hospital	614 Memorial Dr, Chilton	A9586	$4,560 [source]	4 years ago
Aurora St. Luke's Medical Center	2900 W Oklahoma Ave, Milwaukee	A9586	$8,420 [source]	4 years ago
Aurora Medical Center Summit	36500 Aurora Dr, Oconomowoc	A9586	$8,420 [source]	4 years ago
Orthopaedic Hospital Of Wisconsin	475 W River Woods Pkwy, Milwaukee	A9586	$8,889 [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.