A9545 – Iodine i-131 tositumomab, therapeutic, per treatment dose

Long description

Iodine i-131 tositumomab, therapeutic, per treatment dose

Short description

I131 tositumomab, rx

Pricing indicator

57 Other carrier priced

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

I1E Standard imaging - nuclear medicine

Added

January 1, 2006

Last change

January 1, 2017 – No change

Termination date

December 31, 2016

Nearby A codes

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• A9544 – Iodine i-131 tositumomab, diagnostic, per study dose
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