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
Maine
Hospital Address Code Price Last Updated
Eastern Maine Healthcare Systems Inland Hospital 200 Kennedy Memorial Dr, Waterville Q9957 $175 [source] 4 years ago
Sebasticook Valley Health 447 N Main St, Pittsfield Q9957 $178 [source] 4 years ago
Charles A Dean Memorial Hospital 364 Pritham Ave, Greenville Q9957 $220 [source] 4 years ago
Eastern Maine Medical Center 489 State St, Bangor Q9957 $293 [source] 4 years ago
Northern Light Blue Hill Hospital 57 Water Street, Blue Hill Q9957 $366 [source] 4 years ago
Mercy Hospital 144 State St, Portland Q9957 $510 [source] 4 years ago
Northern Light A.r. Gould Hospital 140 Academy St, Presque Isle Q9957 $849 [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.