Code: A9521

Description:

Description: Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental

Other Descriptions:

HC TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI

HC RP CERETEC UP TO 25MCI

TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI

TECHNETIUM TC99 M EXAMETA

CERETEC HMPAO-PER DOSE

TC99M EXAMETAZINE DOSE

TC99M CERETEC UP TO 24 MCI

RX DX 99MTC Ceretec per Dose

Tc99m Exametazime<25mci

Related codes:

Code: A9520

Description: Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental

Code: A9522

INDIUM111IBRITUMOMABTIUXETAN

Code: A9523

YTTRIUM90IBRITUMOMABTIUXETAN

Code: A9524

Description: Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental

Code: A9526

Description: Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental

Code: A9527

Description: Iodine i-125, sodium iodide solution, therapeutic, per millicurie
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental

Code: A9528

Description: Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental

Code: A9529

Description: Iodine i-131 sodium iodide solution, diagnostic, per millicurie
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental

Illinois

Hospital	Address	Code	Price	Last Updated
Franciscan Health Olympia Fields	, Olympia Fields	A9521	$1,290 [source]	4 years ago
Adventist Bolingbrook Hospital	500 Remington Blvd, Bolingbrook	A9521	$1,390 [source]	4 years ago
Presence St. Mary's Hospital	500 W Court St, Kankakee	A9521	$1,849 [source]	4 years ago
Alexian Brothers Medical Center	935 Beisner Rd, Elk Grove Village	A9521	$2,427 [source]	4 years ago
Adventist Hinsdale Hospital	120 N Oak St, Hinsdale	A9521	$2,491 [source]	4 years ago
Adventist Lagrange Memorial Hospital	5101 Willow Springs Rd, La Grange	A9521	$2,512 [source]	4 years ago
Adventist Glenoaks Hospital	701 Winthrop Ave, Glendale Heights	A9521	$2,512 [source]	4 years ago
St. Alexius Medical Center	1555 Barrington Road,	A9521	$2,523 [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 §180.