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
Connecticut
Hospital Address Code Price Last Updated
Middlesex Hospital 28 Crescent St, Middletown A9500 $85 [source] 4 years ago
Middlesex Hospital 520 Saybrook Rd Ste N100, Middletown A9500 $140 [source] 4 years ago
St Vincent's Medical Center 2600 Park Ave, Unit 1M, Bridgeport A9500 $239 [source] 4 years ago
The Hospital Of Central Connecticut 100 Grand St, Emergency Department, New Britain A9500 $402 [source] 4 years ago
Danbury Hospital 24 Hospital Ave, Danbury A9500 $607 [source] 4 years ago
Norwalk Hospital 40 Prospect Ave, Norwalk A9500 $1,073 [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.