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:
Code: Q9950
SULFUR HEXAFLUOR 1ML INJ
Code: Q9951
LOCM 400 OR MORE IC 1 ML
Code: Q9953
IRON MR CONTRAST 1ML INJ
Code: Q9954
MR CONTRAST 100 ML PO
Code: Q9955
Description: Injection, perflexane lipid microspheres, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q9956
OCTAFLUOROPR MCS 3ML INJ
Code: Q9958
HOCM UP TO 149 IC 300ML
Code: Q9959
HOCM 150-199 IC 1ML
Indiana
Hospital Address Code Price Last Updated
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville Q9957 $64 [source] 4 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis Q9957 $64 [source] 4 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon Q9957 $64 [source] 4 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville Q9957 $64 [source] 4 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport Q9957 $64 [source] 4 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem Q9957 $64 [source] 4 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood Q9957 $64 [source] 4 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford Q9957 $64 [source] 4 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester Q9957 $64 [source] 4 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel Q9957 $64 [source] 4 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson Q9957 $64 [source] 4 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis Q9957 $64 [source] 4 years ago
Iu Health Bedford Hospital 2900 W 16Th St, Bedford Q9957 $204 [source] 4 years ago
Franciscan Health Indianapolis , Indianapolis Q9957 $1,249 [source] 4 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil Q9957 $6,012 [source] 4 years ago
Ascension St Vincent Fishers 13861 Olio Road, Q9957 $6,012 [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.