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
Georgia
Hospital Address Code Price Last Updated
Wellstar Atlanta Medical Center 303 Parkway Dr Ne, Atlanta, Georgia, Atlanta A9502 $150 [source] 4 years ago
Murray Medical Center, Inc. 104 Hospital Dr, Chatsworth A9502 $323 [source] 4 years ago
Adventist Health System Georgia, Inc 170 Curtis Pkwy Ne, Calhoun A9502 $323 [source] 4 years ago
Adventhealth Gordon 105 Willowbrook Way Se, Calhoun A9502 $323 [source] 4 years ago
Murray County Memorial Hospital Authority 707 Old Dalton Ellijay Rd, Chatsworth A9502 $323 [source] 4 years ago
Adventist Health System Georgia Inc 1035 Red Bud Rd Ne, Calhoun A9502 $323 [source] 4 years ago
Emory University Hospital 1364 Clifton Rd Ne, Atlanta A9502 $409 [source] 4 years ago
Cartersville Medical Center 960 Joe Frank Harris Pkwy, Cartersville A9502 $508 [source] 4 years ago
Emory University Hospital Decatur 2165 N Decatur Rd , Decatur A9502 $597 [source] 4 years ago
Fairview Park Hospital 200 Industrial Boulevard, Dublin A9502 $627 [source] 4 years ago
Coliseum Health System 350 Hospital Dr, Macon A9502 $717 [source] 4 years ago
Memorial Satilla Health 1900 Tebeau St, Waycross A9502 $726 [source] 4 years ago
Memorial Health 4700 Waters Avenue, Savannah A9502 $972 [source] 4 years ago
Redmond Regional Medical Center 501 Redmond Rd, Rome A9502 $1,498 [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.