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
Maryland
Hospital Address Code Price Last Updated
The Johns Hopkins Hospital , Baltimore A9500 $51 [source] 4 years ago
Carroll Hospital Center 200 Memorial Ave, Westminster A9500 $119 [source] 4 years ago
Upmc Western Maryland 10701 New Georges Creek Rd Sw, Frostburg A9500 $135 [source] 4 years ago
The Good Samaritan Hospital 5601 Loch Raven Blvd, Baltimore A9500 $157 [source] 4 years ago
The Union Memorial Hospital 201 E University Pkwy, Baltimore A9500 $196 [source] 4 years ago
Harbor Hospital 3001 S Hanover St, Brooklyn A9500 $266 [source] 4 years ago
Levindale Hebrew Geriatric Center And Hospital 2434 W Belvedere Ave, Baltimore A9500 $333 [source] 4 years ago
Sinai Hospital Of Baltimore 2401 W Belvedere Ave, Baltimore A9500 $707 [source] 4 years ago
Northwest Hospital Center 5401 Old Court Rd, Randallstown A9500 $1,013 [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.