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
Kansas
Hospital Address Code Price Last Updated
Ascension Via Christi Hospital Manhattan, Inc. 1823 College Ave, Manhattan A9500 $225 [source] 4 years ago
Mt. Carmel Regional Medical Center, Inc. 1 Mt Carmel Way, Pittsburg A9500 $226 [source] 4 years ago
Anderson County Hospital 421 S Maple St, Garnett A9500 $271 [source] 4 years ago
Western Plains Medical Complex 3001 Avenue A, Dodge City A9500 $283 [source] 4 years ago
Saint Luke’s South Hospital 12300 Metcalf Ave, Shawnee Mission A9500 $457 [source] 4 years ago
Adventhealth Ransom Memorial, Inc. 1301 S Main St , Ottawa A9500 $491 [source] 4 years ago
Menorah Medical Center 5721 W. 119Th Street, Shawnee Mission A9500 $1,553 [source] 4 years ago
Overland Park Regional Medical Center 10500 Quivira Road, Shawnee Mission A9500 $2,497 [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.