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
Georgia
Hospital Address Code Price Last Updated
St. Francis Hospital 2122 Manchester Expressway, Columbus A9500 $208 [source] 4 years ago
Emory University Hospital 1364 Clifton Rd Ne, Atlanta A9500 $239 [source] 4 years ago
Wellstar Atlanta Medical Center 303 Parkway Dr Ne, Atlanta, Georgia, Atlanta A9500 $241 [source] 4 years ago
Adventist Health System Georgia Inc 1035 Red Bud Rd Ne, Calhoun A9500 $354 [source] 4 years ago
Adventist Health System Georgia, Inc 170 Curtis Pkwy Ne, Calhoun A9500 $354 [source] 4 years ago
Murray County Memorial Hospital Authority 707 Old Dalton Ellijay Rd, Chatsworth A9500 $480 [source] 4 years ago
Murray Medical Center, Inc. 104 Hospital Dr, Chatsworth A9500 $480 [source] 4 years ago
Adventhealth Gordon 105 Willowbrook Way Se, Calhoun A9500 $480 [source] 4 years ago
Emory University Hospital Decatur 2165 N Decatur Rd , Decatur A9500 $615 [source] 4 years ago
Fairview Park Hospital 200 Industrial Boulevard, Dublin A9500 $627 [source] 4 years ago
Eastside Medical Center 1700 Medical Way, Snellville A9500 $778 [source] 4 years ago
Memorial Satilla Health 1900 Tebeau St, Waycross A9500 $969 [source] 4 years ago
Memorial Health 4700 Waters Avenue, Savannah A9500 $972 [source] 4 years ago
Coliseum Health System 350 Hospital Dr, Macon A9500 $996 [source] 4 years ago
Doctors Hospital Of Augusta 3651 Wheeler Rd, Augusta A9500 $1,787 [source] 4 years ago
Cartersville Medical Center 960 Joe Frank Harris Pkwy, Cartersville A9500 $2,164 [source] 4 years ago
Redmond Regional Medical Center 501 Redmond Rd, Rome A9500 $2,344 [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.