Code: Q9957

Description:

Description: Injection, perflutren lipid microspheres, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)

Other Descriptions:

PERFLUT LPDMCS 1.5ML INJ

Inj Perflutren Lip Micros, Ml

PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION

DEFINITY SUPPLY CONTRAST ML

PERFLUTREN (DEFINITY) IV SYRINGE (DILUTED BOLUS)

DEFINITY CONTRAST

INJ DEFINITY-PERFLUTREN LIP MICROS 1ML

PERFLUTREN LIPID MICROSPHERE

PERFLUTREN LIP MICROS 2ML VL

Related codes:

SULFUR HEXAFLUOR 1ML INJ

LOCM 400 OR MORE IC 1 ML

IRON MR CONTRAST 1ML INJ

MR CONTRAST 100 ML PO

Description: Injection, perflexane lipid microspheres, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)

OCTAFLUOROPR MCS 3ML INJ

HOCM UP TO 149 IC 300ML

HOCM 150-199 IC 1ML

State	Average	# Hospitals In Database
New Mexico (NM)	$74	1
Minnesota (MN)	$85	19
Oklahoma (OK)	$88	1
Washington (WA)	$139	4
District of Columbia (DC)	$144	1
New Jersey (NJ)	$150	2
Illinois (IL)	$166	7
Arizona (AZ)	$180	1
Vermont (VT)	$194	1
California (CA)	$196	31
North Dakota (ND)	$210	3
New York (NY)	$221	3
Nebraska (NE)	$269	11
Idaho (ID)	$270	9
Kentucky (KY)	$276	8
Rhode Island (RI)	$278	1
Massachusetts (MA)	$283	17
Mississippi (MS)	$294	5
West Virginia (WV)	$298	2
Hawaii (HI)	$310	3
Wisconsin (WI)	$322	28
Iowa (IA)	$361	3
Maine (ME)	$370	7
Tennessee (TN)	$373	7
Kansas (KS)	$412	7
Utah (UT)	$420	3
Maryland (MD)	$424	2
Alabama (AL)	$434	7
North Carolina (NC)	$437	31
Georgia (GA)	$447	18
Connecticut (CT)	$519	7
Missouri (MO)	$571	6
Pennsylvania (PA)	$687	2
Indiana (IN)	$702	26
South Carolina (SC)	$721	9
Michigan (MI)	$722	138
Virginia (VA)	$728	5
Florida (FL)	$735	92
Ohio (OH)	$890	11
Alaska (AK)	$917	2
Nevada (NV)	$1,007	15
Texas (TX)	$1,051	55
New Hampshire (NH)	$1,232	6
Louisiana (LA)	$3,020	1

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.