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
Alabama
Hospital Address Code Price Last Updated
Children's Of Alabama 1600 7Th Ave S, Birmingham A9500 $166 [source] 4 years ago
Mizell Memorial Hospital, Inc. 802 N Main St, Opp A9500 $247 [source] 4 years ago
Choctaw General Hospital 401 Vanity Fair Lane, Butler A9500 $354 [source] 4 years ago
Monroe County Hospital 2016 S Alabama Ave, Monroeville A9500 $371 [source] 4 years ago
Coosa Valley Medical Center 315 W Hickory St, Sylacauga A9500 $374 [source] 4 years ago
Baptist East 400 Taylor Rd, Montgomery A9500 $415 [source] 4 years ago
Baptist South 2105 E South Blvd, Montgomery A9500 $415 [source] 4 years ago
Prattville Baptist 124 S Memorial Dr, Prattville A9500 $415 [source] 4 years ago
Brookwood Baptist Medical Center 2010 Brookwood Medical Center Dr., Birmingham A9500 $918 [source] 4 years ago
Andalusia Health 849 South Tree Notch Street, Andalusia A9500 $1,334 [source] 4 years ago
Vaughan Regional Medical Center 1015 Medical Center Parkway, Waterbury A9500 $2,857 [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.