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

Nebraska

Hospital	Address	Code	Price	Last Updated
Chi Health St. Elizabeth	555 S. 70Th St., Lincoln	A9521	$2,181 [source]	4 years ago
Chi Health Nebraska Heart	7500 So. 91St St., Lincoln	A9521	$3,059 [source]	4 years ago
Chi Health Schuyler	1721 Colfax St, Schuyler	A9521	$5,314 [source]	4 years ago
Chi Health Plainview	704 N 3Rd St, Plainview	A9521	$5,314 [source]	4 years ago
Chi Health Good Samaritan	10 E 31St St, Kearney	A9521	$6,252 [source]	4 years ago
Chi Health Lakeside	17201 Wright St, Omaha	A9521	$6,252 [source]	4 years ago
Chi Health Midlands	11111 S 84Th St, Papillion	A9521	$6,252 [source]	4 years ago
Chi Health Creighton University Medical Center - Bergan Mercy	7500 Mercy Rd, Omaha	A9521	$6,252 [source]	4 years ago
Chi Health Immanuel	7101 Newport Ave, Omaha	A9521	$6,252 [source]	4 years ago
Chi Health St. Francis	2116 W Faidley Ave, Grand Island	A9521	$6,252 [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.