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
Wisconsin
Hospital Address Code Price Last Updated
River Falls Area Hospital , River Falls Q9957 $41 [source] 4 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton Q9957 $68 [source] 4 years ago
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff Q9957 $73 [source] 4 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee Q9957 $147 [source] 4 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand Q9957 $239 [source] 4 years ago
Prairie Ridge Health 1515 Park Ave, Columbus Q9957 $258 [source] 4 years ago
Aurora Medical Center Burlington 252 Mchenry St, Burlington Q9957 $295 [source] 4 years ago
Aurora Medical Center Of Manitowoc County 5000 Memorial Dr, Two Rivers Q9957 $295 [source] 4 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette Q9957 $295 [source] 4 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay Q9957 $295 [source] 4 years ago
Aurora Medical Center Of Washington County 1032 E Sumner St, Hartford Q9957 $295 [source] 4 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh Q9957 $295 [source] 4 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton Q9957 $295 [source] 4 years ago
Aurora Medical Center Kenosha 10400 75Th St, Kenosha Q9957 $295 [source] 4 years ago
Aurora Lakeland Medical Center W3930 County Road Nn, Elkhorn Q9957 $295 [source] 4 years ago
Aspirus Medford Hospital 135 S Gibson St, Medford Q9957 $317 [source] 4 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau Q9957 $317 [source] 4 years ago
Aspirus Langlade Hospital 110 E 5Th Ave, Antigo Q9957 $317 [source] 4 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, Q9957 $317 [source] 4 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids Q9957 $317 [source] 4 years ago
Watertown Regional Medical Center 125 Hospital Drive, Watertown Q9957 $376 [source] 4 years ago
Aurora Sheboygan Memorial Medical Center 2629 N 7Th St, Sheboygan Q9957 $414 [source] 4 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc Q9957 $545 [source] 4 years ago
Aurora West Allis Medical Center 8901 W Lincoln Ave, Milwaukee Q9957 $572 [source] 4 years ago
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy Q9957 $576 [source] 4 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee Q9957 $661 [source] 4 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee Q9957 $666 [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.