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
Kansas
Hospital Address Code Price Last Updated
Saint Luke’s South Hospital 12300 Metcalf Ave, Shawnee Mission A9521 $1,900 [source] 4 years ago
Anderson County Hospital 421 S Maple St, Garnett A9521 $3,061 [source] 4 years ago
Adventhealth Ransom Memorial, Inc. 1301 S Main St , Ottawa A9521 $4,823 [source] 4 years ago
Menorah Medical Center 5721 W. 119Th Street, Shawnee Mission A9521 $6,283 [source] 4 years ago
Overland Park Regional Medical Center 10500 Quivira Road, Shawnee Mission A9521 $10,998 [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.