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

Hawaii

Hospital	Address	Code	Price	Last Updated
Kaiser Permanente	3288 Moanalua Rd, Honolulu	A9500	$13 [source]	4 years ago
Hale Ho'ola Hamakua	100 Keokea Pl, Kula	A9500	$83 [source]	4 years ago
Kau Hospital	1 Kamani Street, Pahala	A9500	$83 [source]	4 years ago
North Hawaii Community Hospital	67-1125 Mamalahoa Hwy, Kamuela	A9500	$127 [source]	4 years ago
The Queen's Medical Center - West O'ahu	1301 Punchbowl St, Honolulu	A9500	$139 [source]	4 years ago
The Queen's Medical Center	4800 Kawaihau Rd, Kapaa	A9500	$139 [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 §180.