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

Ohio

Hospital	Address	Code	Price	Last Updated
Cleveland Clinic Main Campus	9500 Euclid Ave, Cleveland	A9521	$1,700 [source]	4 years ago
Medina Hospital	1000 E. Washington St., Medina	A9521	$1,700 [source]	4 years ago
Euclid Hospital	18901 Lakeshore Blvd., Cleveland	A9521	$5,188 [source]	4 years ago
Lutheran Hospital	1730 West 25Th Street, Cleveland	A9521	$5,188 [source]	4 years ago
Fairview Hospital	18101 Lorain Ave., Cleveland	A9521	$5,188 [source]	4 years ago
South Pointe Hospital	20000 Harvard Rd., Cleveland	A9521	$5,188 [source]	4 years ago
Hillcrest Hospital	6780 Mayfield Rd., Cleveland	A9521	$5,188 [source]	4 years ago
Marymount Hospital	12300 Mccracken Road, Cleveland	A9521	$5,188 [source]	4 years ago
Akron General	1 Akron General Ave., Akron	A9521	$5,402 [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.