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
Michigan
Hospital Address Code Price Last Updated
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak A9502 $87 [source] 4 years ago
Mclaren Port Huron 1221 Pine Grove Ave, Port Huron A9502 $90 [source] 4 years ago
Midmichigan Medical Center Gladwin , Gladwin A9502 $107 [source] 4 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren A9502 $159 [source] 4 years ago
Mclaren Caro Region 401 N Hooper St, Caro A9502 $162 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield A9502 $163 [source] 4 years ago
Mclaren Central Michigan 1221 South Dr, Mount Pleasant A9502 $168 [source] 4 years ago
St. John Providence 28000 Dequindre Rd, Warren A9502 $171 [source] 4 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester A9502 $173 [source] 4 years ago
Mclaren Bay Special Care Hospital 3250 E Midland Rd Suite 1, Bay City A9502 $189 [source] 4 years ago
Mclaren Bay Region 1900 Columbus Ave, Bay City A9502 $189 [source] 4 years ago
Mclaren Greater Lansing 401 W Greenlawn Ave, Lansing A9502 $224 [source] 4 years ago
Mclaren Thumb Region 1100 S Van Dyke Rd, Bad Axe A9502 $225 [source] 4 years ago
Mclaren Flint 401 S Ballenger Hwy, Flint A9502 $257 [source] 4 years ago
Mclaren Oakland 50 N Perry St, Pontiac A9502 $279 [source] 4 years ago
Mclaren Macomb 1000 Harrington St, Mount Clemens A9502 $333 [source] 4 years ago
Mclaren Lapeer Region 1375 N Main St, Lapeer A9502 $437 [source] 4 years ago
Up Health System – Marquette 580 West College Avenue, Marquette A9502 $507 [source] 4 years ago
Karmanos Cancer Institute 4100 John R St, Detroit A9502 $574 [source] 4 years ago
William Beaumont Hospital 468 Cadieux Rd, Grosse Pointe A9502 $670 [source] 4 years ago
Dmc Hutzel Women's Hospital 3990 John R Street, Detroit A9502 $672 [source] 4 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak A9502 $1,160 [source] 4 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn A9502 $1,160 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre, Troy A9502 $1,160 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy A9502 $1,160 [source] 4 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak A9502 $1,160 [source] 4 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak A9502 $1,160 [source] 4 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy A9502 $1,160 [source] 4 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak A9502 $1,160 [source] 4 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak A9502 $1,160 [source] 4 years ago
Oakwood Healthcare Inc Beaumont Service Center, A9502 $1,160 [source] 4 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak A9502 $1,160 [source] 4 years ago
Oakwood Healthcare, Inc. 10000 Telegraph Rd, Taylor A9502 $1,160 [source] 4 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak A9502 $1,160 [source] 4 years ago
Oakwood Healthcare, Inc. 5450 Fort St, Trenton A9502 $1,160 [source] 4 years ago
Botsford General Hospital 28050 Grand River Ave, Farmington A9502 $1,160 [source] 4 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn A9502 $1,160 [source] 4 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak A9502 $1,160 [source] 4 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington A9502 $1,160 [source] 4 years ago
Oakwood Healthcare, Inc. 33155 Annapolis St, Wayne A9502 $1,160 [source] 4 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn A9502 $1,160 [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 §180.