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
Massachusetts
Hospital Address Code Price Last Updated
Metrowest Medical Center - Framingham Union Hospital 115 Lincoln Street, Framingham Q9957 $225 [source] 4 years ago
Metrowest Medical Center - Leonard Morse Hospital 67 Union Street, Natick Q9957 $225 [source] 4 years ago
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs Q9957 $266 [source] 4 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge Q9957 $266 [source] 4 years ago
Massachusetts General Hospital 55 Fruit St, Boston Q9957 $266 [source] 4 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich Q9957 $266 [source] 4 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton Q9957 $266 [source] 4 years ago
North Shore Medical Center Hospital 81 Highland Ave, Salem Q9957 $266 [source] 4 years ago
Nantucket Cottage Hospital 57 Prospect St, Nantucket Q9957 $266 [source] 4 years ago
Mclean Hospital 115 Mill St, Belmont Q9957 $266 [source] 4 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain Q9957 $266 [source] 4 years ago
Massachusetts Eye And Ear 243 Charles St, Boston Q9957 $266 [source] 4 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown Q9957 $266 [source] 4 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls Q9957 $266 [source] 4 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston Q9957 $333 [source] 4 years ago
Saint Vincent Hospital 123 Summer St., Worcester Q9957 $565 [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.