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
Idaho
Hospital Address Code Price Last Updated
St. Joseph Regional Medical Center 415 6Th St, Lewiston A9500 $124 [source] 4 years ago
Kootenai Health 2003 Kootenai Health Way, Coeur D Alene A9500 $177 [source] 4 years ago
Bonner General Hospital 520 N 3Rd Ave, Sandpoint A9500 $197 [source] 4 years ago
Power County Hospital 510 Roosevelt St, American Falls A9500 $282 [source] 4 years ago
St. Joseph Regional Medical Center 415 Sixth Street, Lewiston A9500 $325 [source] 4 years ago
Caribou Memorial Hospital 300 S 3Rd W, Soda Springs A9500 $347 [source] 4 years ago
Minidoka Medical Center 1308 8Th St, Suite 1, Rupert A9500 $464 [source] 4 years ago
Lost Rivers Medical Center 551 Highland Dr, Arco A9500 $663 [source] 4 years ago
Bear Lake Memorial Hospital 164 S 5Th St, Montpelier A9500 $668 [source] 4 years ago
Eastern Idaho Regional Medical Center 3100 Channing Way, Idaho Falls A9500 $740 [source] 4 years ago
West Valley Medical Center 1717 Arlington Ave., Caldwell A9500 $1,012 [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.