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
Kentucky
Hospital Address Code Price Last Updated
Bluegrass Community Hospital 360 Amsden Avenue, Versailles A9500 $325 [source] 4 years ago
Manchester Memorial Hospital 210 Marie Langdon Dr, Manchester A9500 $531 [source] 4 years ago
Fleming County Hospital 55 Foundation Drive, Flemingsburg A9500 $714 [source] 4 years ago
Clark Regional Medical Center 175 Hospital Drive, Winchester A9500 $823 [source] 4 years ago
Jackson Purchase Medical Center 1099 Medical Center Circle, Mayfield A9500 $866 [source] 4 years ago
Spring View Hospital 320 Loretto Road, Lebanon A9500 $1,063 [source] 4 years ago
Georgetown Community Hospital 1140 Lexington Rd, Georgetown A9500 $1,102 [source] 4 years ago
Logan Memorial Hospital 1625 Nashville Street, Russellville A9500 $1,360 [source] 4 years ago
Meadowview Regional Medical Center 989 Medical Park Drive, Maysville A9500 $1,367 [source] 4 years ago
Bourbon Community Hospital 9 Linville Drive, Paris A9500 $1,821 [source] 4 years ago
Lake Cumberland Regional Hospital 305 Langdon Street, Somerset A9500 $4,028 [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.