Code: A9502

Description:
Description: Technetium tc-99m tetrofosmin, diagnostic, per study dose
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE
TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE
MYOVIEW, VIAL
MYOVIEW (TETROFOSMIN)
MYOVIEW INJ (TC99M TETROFOSMIN)
RX DX Tetrofosmin per Dose
Supply Technicium Tetrofosmin / Dose
TC99M TETROFOSMIN PER DOSE
Tc99m Tetrofosmin/per Dose
Related codes:
Code: A9500
TC99M SESTAMIBI DX DOSE
Code: A9501
Description: Technetium tc-99m teboroxime, diagnostic, per study dose
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
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
State Average # Hospitals In Database
New Jersey (NJ) $58 2
Minnesota (MN) $89 22
New York (NY) $143 3
Maine (ME) $145 3
Iowa (IA) $150 3
Tennessee (TN) $170 10
Nebraska (NE) $177 8
Hawaii (HI) $183 4
North Carolina (NC) $184 22
Maryland (MD) $193 8
Connecticut (CT) $221 2
Oklahoma (OK) $230 4
Ohio (OH) $257 10
West Virginia (WV) $288 2
North Dakota (ND) $292 2
Mississippi (MS) $322 6
Indiana (IN) $326 12
New Hampshire (NH) $339 1
Utah (UT) $347 1
Massachusetts (MA) $365 4
Vermont (VT) $417 1
Washington (WA) $426 4
Wisconsin (WI) $447 16
Idaho (ID) $477 2
District of Columbia (DC) $490 1
Rhode Island (RI) $494 3
Wyoming (WY) $510 2
Arizona (AZ) $512 3
Georgia (GA) $552 19
Illinois (IL) $570 8
South Carolina (SC) $571 5
Missouri (MO) $589 9
Alabama (AL) $616 7
Kansas (KS) $618 9
Kentucky (KY) $636 7
California (CA) $898 72
Michigan (MI) $949 137
Nevada (NV) $1,034 12
New Mexico (NM) $1,041 1
Texas (TX) $1,069 36
Virginia (VA) $1,122 4
Louisiana (LA) $1,137 2
Florida (FL) $1,255 108

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.