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
Illinois
Hospital Address Code Price Last Updated
Franciscan Health Olympia Fields , Olympia Fields A9502 $155 [source] 4 years ago
Adventist Bolingbrook Hospital 500 Remington Blvd, Bolingbrook A9502 $390 [source] 4 years ago
Presence St. Mary's Hospital 500 W Court St, Kankakee A9502 $519 [source] 4 years ago
Alexian Brothers Medical Center 935 Beisner Rd, Elk Grove Village A9502 $681 [source] 4 years ago
Adventist Hinsdale Hospital 120 N Oak St, Hinsdale A9502 $699 [source] 4 years ago
Adventist Lagrange Memorial Hospital 5101 Willow Springs Rd, La Grange A9502 $705 [source] 4 years ago
Adventist Glenoaks Hospital 701 Winthrop Ave, Glendale Heights A9502 $705 [source] 4 years ago
St. Alexius Medical Center 1555 Barrington Road, A9502 $708 [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.