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Supply of Iodine I-123 ioflupane, diagnostic, per study dose, up to 5 mCi.
2025 HCPCS code A9556
Gallium Ga-67 citrate, diagnostic, per millicurie.
2025 HCPCS code A9150
Non-prescription drugs.
2025 HCPCS code A9609
Fludeoxyglucose F-18, up to 15 millicuries, used in PET imaging.
2025 HCPCS code A9505
Thallium Tl-201 thallous chloride, diagnostic, per millicurie.
2025 HCPCS code A9528
Iodine I-131 sodium iodide capsules, diagnostic, per millicurie.
2025 HCPCS code A9800
Gallium Ga-68 gozetotide, diagnostic, per millicurie
2025 HCPCS code A9580
Sodium fluoride F-18, diagnostic, per study dose, up to 30 millicuries.
2025 HCPCS code A9536
Technetium Tc-99m depreotide, diagnostic, per study dose, up to 35 mCi
2025 HCPCS code A9508
Iodine I-131 iobenguane sulfate, diagnostic, per 0.5 millicurie.
2025 HCPCS code A7009
Nondisposable reservoir bottle for use with large volume ultrasonic nebulizer.
2025 HCPCS code A9509
Iodine I-123 sodium iodide, diagnostic, per millicurie (mCi).
2025 HCPCS code A9526
Nitrogen N-13 ammonia, diagnostic, per study dose, up to 40 millicuries.
2025 HCPCS code A9588
Fluciclovine F-18, diagnostic, per 1 millicurie.
2025 HCPCS code A9541
Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries.
2025 HCPCS code A9575
Gadoterate meglumine, 0.1 ml injection, for MRI scans, particularly of the brain and spine.
2025 HCPCS code A9558
Xenon Xe-133, per 10 millicuries
2025 HCPCS code A9547
Indium In-111 oxyquinoline, diagnostic, per 0.5 millicurie.
2025 HCPCS code A9560
Technetium tc-99m labeled red blood cells for diagnostic study and imaging of blood pool and equilibrium, or diagnosing gastrointestinal bleeding (up to 30 mCi).
2025 HCPCS code A9608
Flotufolastat F 18, 1 millicurie
2025 HCPCS code A9559
Cobalt Co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie.
2025 HCPCS code A9607
Lutetium Lu 177 vipivotide tetraxetan, 1 millicurie.
2025 HCPCS code A9590
Supply of 1 mCi of iodine I-131 iobenguane.
2025 HCPCS code A4634
Replacement bulb for therapeutic light box, tabletop model.
2025 HCPCS code A2007
Restrata wound matrix, per square centimeter.
2025 HCPCS code A0080
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest.
2025 HCPCS code A2026
Restrata minimatrix, 5 mg.
2025 HCPCS code A2021
Neomatrix, per square centimeter
2025 HCPCS code A2017
Permeaderm glove, each.
2025 HCPCS code A4215
Sterile needle of any size, each.
2025 HCPCS code A4608
Transtracheal oxygen catheter, each.
2025 HCPCS code A9595
Supply of piflufolastat F-18, 1 mCi.
2025 HCPCS code A9602
Supply of fluorodopa F-18, a radioactive diagnostic agent used in PET imaging for suspected Parkinsonian syndromes.
2025 HCPCS code A9530
Iodine I-131 sodium iodide solution, therapeutic, per millicurie.
2025 HCPCS code A9531
Iodine I-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries).
2025 HCPCS code A9540
Technetium Tc 99m macroaggregated albumin (MAA), diagnostic, per study dose, up to 10 millicuries.
2025 HCPCS code A4245
Alcohol wipes, per box
2025 HCPCS code A9563
Sodium Phosphate P-32, per millicurie
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