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
Maryland
Hospital Address Code Price Last Updated
The Johns Hopkins Hospital , Baltimore A9502 $58 [source] 4 years ago
Grace Medical Center 2000 W Baltimore St, Baltimore A9502 $122 [source] 4 years ago
The Good Samaritan Hospital 5601 Loch Raven Blvd, Baltimore A9502 $137 [source] 4 years ago
The Union Memorial Hospital 201 E University Pkwy, Baltimore A9502 $171 [source] 4 years ago
Harbor Hospital 3001 S Hanover St, Brooklyn A9502 $232 [source] 4 years ago
Levindale Hebrew Geriatric Center And Hospital 2434 W Belvedere Ave, Baltimore A9502 $233 [source] 4 years ago
Sinai Hospital Of Baltimore 2401 W Belvedere Ave, Baltimore A9502 $247 [source] 4 years ago
Northwest Hospital Center 5401 Old Court Rd, Randallstown A9502 $346 [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.