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
Ohio
Hospital Address Code Price Last Updated
Cleveland Clinic Main Campus 9500 Euclid Ave, Cleveland A9500 $70 [source] 4 years ago
Medina Hospital 1000 E. Washington St., Medina A9500 $70 [source] 4 years ago
Akron General Lodi Hospital 225 Elyria St., Lodi A9500 $161 [source] 4 years ago
Akron General 1 Akron General Ave., Akron A9500 $161 [source] 4 years ago
Cmh Regional Health System 610 W. Main St., Wilmington A9500 $282 [source] 4 years ago
Euclid Hospital 18901 Lakeshore Blvd., Cleveland A9500 $359 [source] 4 years ago
Lutheran Hospital 1730 West 25Th Street, Cleveland A9500 $359 [source] 4 years ago
Fairview Hospital 18101 Lorain Ave., Cleveland A9500 $359 [source] 4 years ago
South Pointe Hospital 20000 Harvard Rd., Cleveland A9500 $359 [source] 4 years ago
Hillcrest Hospital 6780 Mayfield Rd., Cleveland A9500 $359 [source] 4 years ago
Marymount Hospital 12300 Mccracken Road, Cleveland A9500 $359 [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.