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
Tennessee
Hospital Address Code Price Last Updated
Riverview Regional Medical Center 158 Hospital Drive, Carthage A9521 $620 [source] 4 years ago
Southern Tennessee Regional Health System - Winchester 185 Hospital Road, Winchester A9521 $814 [source] 4 years ago
Southern Tennessee Regional Health System - Lawrenceburg 1607 South Locust Avenue, Lawrenceburg A9521 $1,035 [source] 4 years ago
Southern Tennessee Regional Health System - Pulaski 1265 East College Street, Pulaski A9521 $1,420 [source] 4 years ago
Sumner Regional Medical Center 555 Hartsville Pike, Gallatin A9521 $1,705 [source] 4 years ago
St. Jude Children's Research Hospital , Memphis A9521 $2,504 [source] 4 years ago
Trousdale Medical Center 500 Church Street, Hartsville A9521 $3,297 [source] 4 years ago
Saint Thomas River Park Hospital, Llc 120 Walnut Commons Ln Ste D, Cookeville A9521 $3,316 [source] 4 years ago
Ascension Saint Thomas Stones River 324 Doolittle Rd, Woodbury A9521 $3,316 [source] 4 years ago
Ascension Saint Thomas Dekalb 520 W Main St, Smithville A9521 $3,316 [source] 4 years ago
Saint Thomas Hickman Hospital 1518 Highway 100, Centerville A9521 $3,316 [source] 4 years ago
Ascension Saint Thomas Highlands 401 Sewell Dr, Sparta A9521 $3,316 [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 ยง180.