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
Massachusetts
Hospital Address Code Price Last Updated
Massachusetts General Hospital 55 Fruit St, Boston A9500 $106 [source] 4 years ago
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs A9500 $110 [source] 4 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston A9500 $166 [source] 4 years ago
North Shore Medical Center Hospital 81 Highland Ave, Salem A9500 $168 [source] 4 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain A9500 $168 [source] 4 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton A9500 $202 [source] 4 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls A9500 $202 [source] 4 years ago
Metrowest Medical Center - Framingham Union Hospital 115 Lincoln Street, Framingham A9500 $595 [source] 4 years ago
Metrowest Medical Center - Leonard Morse Hospital 67 Union Street, Natick A9500 $595 [source] 4 years ago
Saint Vincent Hospital 123 Summer St., Worcester A9500 $665 [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.