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
Tennessee
Hospital Address Code Price Last Updated
Saint Thomas Hickman Hospital 1518 Highway 100, Centerville Q9957 $104 [source] 4 years ago
Ascension Saint Thomas Stones River 324 Doolittle Rd, Woodbury Q9957 $104 [source] 4 years ago
Ascension Saint Thomas Dekalb 520 W Main St, Smithville Q9957 $104 [source] 4 years ago
Ascension Saint Thomas Highlands 401 Sewell Dr, Sparta Q9957 $104 [source] 4 years ago
Southern Tennessee Regional Health System - Winchester 185 Hospital Road, Winchester Q9957 $321 [source] 4 years ago
Southern Tennessee Regional Health System - Pulaski 1265 East College Street, Pulaski Q9957 $378 [source] 4 years ago
Southern Tennessee Regional Health System - Lawrenceburg 1607 South Locust Avenue, Lawrenceburg Q9957 $1,494 [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.