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
Missouri
Hospital Address Code Price Last Updated
Saint Luke’s North Hospital 5830 Nw Barry Rd, Kansas City A9500 $283 [source] 4 years ago
Saint Luke’s East Hospital 100 Ne Saint Luke's Blvd, Lees Summit A9500 $472 [source] 4 years ago
Hedrick Medical Center 2799 N Washington St, Chillicothe A9500 $484 [source] 4 years ago
Saint Luke’s Hospital 4401 Wornall Rd, Kansas City A9500 $558 [source] 4 years ago
Belton Regional Medical Center 17065 S. 71 Highway, Belton A9500 $765 [source] 4 years ago
Lafayette Regional Health Center 1500 State Street, Lexington A9500 $1,040 [source] 4 years ago
Research Medical Center 2316 E Meyer Blvd, Kansas City A9500 $1,310 [source] 4 years ago
Centerpoint Medical Center 19600 East 39Th Street, Independence A9500 $1,511 [source] 4 years ago
Lee's Summit Medical Center 2100 Se Blue Parkway, Lees Summit A9500 $1,568 [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.