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
Minnesota
Hospital Address Code Price Last Updated
Cambridge Medical Center 701 Dellwood St, Cambridge A9500 $45 [source] 4 years ago
Buffalo Hospital 303 Catlin St, Buffalo A9500 $45 [source] 4 years ago
Abbott Northwestern Hospital , Minneapolis A9500 $60 [source] 4 years ago
Hennepin Healthcare 716 South 7Th Street, Minneapolis A9500 $115 [source] 4 years ago
Essentia Health-Moose Lake 4572 County Road 61, Moose Lake A9500 $138 [source] 4 years ago
Essentia Health St. Mary's-Detroit Lakes 1027 Washington Ave, Detroit Lakes A9500 $211 [source] 4 years ago
Essentia Health-Holy Trinity Hospital (Graceville) 115 W 2Nd St, Graceville A9500 $237 [source] 4 years ago
Essentia Health-Fosston 900 Hilligoss Blvd Se, Fosston A9500 $237 [source] 4 years ago
Sanford Bemidji Medical Center 1300 Anne St Nw, Bemidji A9500 $245 [source] 4 years ago
Sanford Bagley Medical Center 203 4Th St Nw, Bagley A9500 $245 [source] 4 years ago
Essentia Health-St. Mary's Medical Center 407 E 3Rd St, Duluth A9500 $250 [source] 4 years ago
Essentia Health-Duluth (Miller-Dwan Building) 502 E 2Nd St, Duluth A9500 $250 [source] 4 years ago
Essentia Health-Ada 201 9Th St W, Ada A9500 $274 [source] 4 years ago
Essentia Health-Sandstone 705 Lundorff Dr, Sandstone A9500 $299 [source] 4 years ago
Essentia Health-Northern Pines 5211 Hwy 110, Aurora A9500 $299 [source] 4 years ago
Essentia Health-Deer River 115 10Th Ave Ne, Deer River A9500 $299 [source] 4 years ago
Essentia Health-St. Joseph's Medical Center (Brainerd) 523 N 3Rd St, Brainerd A9500 $300 [source] 4 years ago
Sanford Luverne Medical Center 1600 N Kniss Ave, Luverne A9500 $390 [source] 4 years ago
Sanford Jackson Medical Center 1430 North Hwy, Jackson A9500 $476 [source] 4 years ago
Sanford Thief River Falls 120 Labree Ave S, Thief River Falls A9500 $500 [source] 4 years ago
Essentia Health-Virginia 901 9Th St N, Virginia A9500 $707 [source] 4 years ago
Sanford Canby Medical Center 112 Saint Olaf Ave S, Canby A9500 $741 [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.