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
Indiana
Hospital Address Code Price Last Updated
Scott Memorial Health 1451 N. Gardner P.o. Box 430, Scottsburg A9500 $261 [source] 4 years ago
Iu Health White Memorial Hospital 720 S 6Th St, Monticello A9500 $262 [source] 4 years ago
Iu Health Paoli Hospital 642 W Hospital Rd, Paoli A9500 $328 [source] 4 years ago
Clark Memorial Health 1220 Missouri Avenue, Jeffersonville A9500 $503 [source] 4 years ago
Franciscan Health Indianapolis , Indianapolis A9500 $768 [source] 4 years ago
Terre Haute Regional Hospital 3901 S 7Th St, Terre Haute A9500 $1,941 [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.