Code: A9500

Description:
Description: Technetium tc-99m sestamibi, diagnostic, per study dose
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC TECHNETIUM TC-99M SESTAMIBI DX UP TO 40 MCI
RP SESTAMIBI DOSE UP TO 40MCI
TECHNETIUM TC 99M SESTAMIBI - CARDIOLITE
TC99M SESTABIBI UP TO 40MCI
TC99M SESTAMBI
HCHG CVMC TC99M TETROFOSMIN
RX DX Cardiolite per Dose
Tc99m Sestamibi Per Dose
Related codes:
Code: A9501
Description: Technetium tc-99m teboroxime, diagnostic, per study dose
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A9502
TC99M TETROFOSMIN DXDOSE
Code: A9503
TC99M MEDRONATE DX 30MCI
Code: A9504
TC99M APCITIDE DX 20MCI
Code: A9505
TL201 THALLOUS CL DX MCI
Code: A9507
IN111 CAPRO PEN DX 10MCI
Code: A9508
I131 IOBENGUAN DX 0.5MCI
Code: A9509
I123 SODIUM IOD DX 1 MCI
State Average # Hospitals In Database
Hawaii (HI) $97 6
New Jersey (NJ) $140 2
Iowa (IA) $191 3
Minnesota (MN) $216 32
New York (NY) $252 4
Maine (ME) $261 5
Nebraska (NE) $263 11
Ohio (OH) $263 11
Oklahoma (OK) $273 3
Massachusetts (MA) $284 11
North Dakota (ND) $289 4
Maryland (MD) $331 9
North Carolina (NC) $371 28
Arkansas (AR) $422 3
Connecticut (CT) $424 6
Mississippi (MS) $432 7
Delaware (DE) $433 1
Vermont (VT) $483 3
Wisconsin (WI) $514 30
Idaho (ID) $519 13
Rhode Island (RI) $521 4
District of Columbia (DC) $524 1
West Virginia (WV) $546 5
Tennessee (TN) $564 15
Pennsylvania (PA) $588 5
Indiana (IN) $609 16
South Carolina (SC) $620 9
Alaska (AK) $620 2
Washington (WA) $631 5
Arizona (AZ) $652 2
South Dakota (SD) $674 6
Alabama (AL) $715 11
California (CA) $744 81
Georgia (GA) $777 23
Utah (UT) $782 3
Illinois (IL) $835 8
Oregon (OR) $917 4
Texas (TX) $950 72
Missouri (MO) $992 12
Kansas (KS) $1,005 10
New Hampshire (NH) $1,061 7
Louisiana (LA) $1,124 3
Kentucky (KY) $1,211 12
New Mexico (NM) $1,333 2
Virginia (VA) $1,390 6
Florida (FL) $1,552 117
Nevada (NV) $1,836 18
Wyoming (WY) $2,183 2
Michigan (MI) $2,686 145
Colorado (CO) $3,314 1
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.