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

Maine

Hospital	Address	Code	Price	Last Updated
Northern Light Blue Hill Hospital	57 Water Street, Blue Hill	A9500	$192 [source]	4 years ago
Northern Light A.r. Gould Hospital	140 Academy St, Presque Isle	A9500	$208 [source]	4 years ago
Eastern Maine Healthcare Systems Inland Hospital	200 Kennedy Memorial Dr, Waterville	A9500	$225 [source]	4 years ago
Mercy Hospital	144 State St, Portland	A9500	$274 [source]	4 years ago
Eastern Maine Medical Center	489 State St, Bangor	A9500	$408 [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.