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
Alabama
Hospital Address Code Price Last Updated
Mizell Memorial Hospital, Inc. 802 N Main St, Opp A9502 $247 [source] 4 years ago
Monroe County Hospital 2016 S Alabama Ave, Monroeville A9502 $281 [source] 4 years ago
Choctaw General Hospital 401 Vanity Fair Lane, Butler A9502 $337 [source] 4 years ago
Baptist East 400 Taylor Rd, Montgomery A9502 $415 [source] 4 years ago
Baptist South 2105 E South Blvd, Montgomery A9502 $415 [source] 4 years ago
Prattville Baptist 124 S Memorial Dr, Prattville A9502 $415 [source] 4 years ago
Vaughan Regional Medical Center 1015 Medical Center Parkway, Waterbury A9502 $2,198 [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.