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
South Carolina
Hospital Address Code Price Last Updated
Providence Health 2435 Forest Drive, Columbia A9500 $126 [source] 4 years ago
Providence Health Northeast 120 Gateway Corporate Blvd, Columbia A9500 $126 [source] 4 years ago
Trident Medical Center 9330 Medical Plaza Dr., Charleston A9500 $185 [source] 4 years ago
Aiken Regional Medical Centers 302 University Parkway, Aiken A9500 $289 [source] 4 years ago
Carolina Pines Regional Medical Center 1304 W. Bobo Newsom Highway, Hartsville A9500 $465 [source] 4 years ago
Colleton Medical Center 501 Robertson Blvd, Walterboro A9500 $872 [source] 4 years ago
Grand Strand Medical Center 809 82Nd Pkwy, Myrtle Beach A9500 $1,321 [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.