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

Missouri

Hospital	Address	Code	Price	Last Updated
Saint Luke’s East Hospital	100 Ne Saint Luke's Blvd, Lees Summit	A9521	$1,900 [source]	4 years ago
Saint Luke’s Hospital	4401 Wornall Rd, Kansas City	A9521	$1,987 [source]	4 years ago
Hedrick Medical Center	2799 N Washington St, Chillicothe	A9521	$2,789 [source]	4 years ago
Saint Luke’s North Hospital	5830 Nw Barry Rd, Kansas City	A9521	$3,828 [source]	4 years ago
Lafayette Regional Health Center	1500 State Street, Lexington	A9521	$4,463 [source]	4 years ago
Belton Regional Medical Center	17065 S. 71 Highway, Belton	A9521	$5,240 [source]	4 years ago
Lee's Summit Medical Center	2100 Se Blue Parkway, Lees Summit	A9521	$6,482 [source]	4 years ago
Centerpoint Medical Center	19600 East 39Th Street, Independence	A9521	$10,270 [source]	4 years ago
Research Medical Center	2316 E Meyer Blvd, Kansas City	A9521	$13,515 [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.