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
Nebraska
Hospital Address Code Price Last Updated
Chi Health Good Samaritan 10 E 31St St, Kearney A9500 $93 [source] 4 years ago
Chi Health Schuyler 1721 Colfax St, Schuyler A9500 $180 [source] 4 years ago
Chi Health Plainview 704 N 3Rd St, Plainview A9500 $180 [source] 4 years ago
Chi Health Lakeside 17201 Wright St, Omaha A9500 $212 [source] 4 years ago
Chi Health Midlands 11111 S 84Th St, Papillion A9500 $212 [source] 4 years ago
Chi Health Creighton University Medical Center - Bergan Mercy 7500 Mercy Rd, Omaha A9500 $212 [source] 4 years ago
Chi Health Immanuel 7101 Newport Ave, Omaha A9500 $212 [source] 4 years ago
Chi Health St. Mary 1301 Grundman Blvd, Nebraska City A9500 $291 [source] 4 years ago
Chi Health St. Francis 2116 W Faidley Ave, Grand Island A9500 $383 [source] 4 years ago
Chi Health St. Elizabeth 555 S. 70Th St., Lincoln A9500 $461 [source] 4 years ago
Chi Health Nebraska Heart 7500 So. 91St St., Lincoln A9500 $461 [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.