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
Minnesota
Hospital Address Code Price Last Updated
Buffalo Hospital 303 Catlin St, Buffalo A9502 $56 [source] 4 years ago
Cambridge Medical Center 701 Dellwood St, Cambridge A9502 $56 [source] 4 years ago
Abbott Northwestern Hospital , Minneapolis A9502 $71 [source] 4 years ago
Essentia Health-St. Joseph's Medical Center (Brainerd) 523 N 3Rd St, Brainerd A9502 $121 [source] 4 years ago
Essentia Health-Ada 201 9Th St W, Ada A9502 $127 [source] 4 years ago
Essentia Health-Fosston 900 Hilligoss Blvd Se, Fosston A9502 $127 [source] 4 years ago
Essentia Health-Holy Trinity Hospital (Graceville) 115 W 2Nd St, Graceville A9502 $127 [source] 4 years ago
Essentia Health-Moose Lake 4572 County Road 61, Moose Lake A9502 $138 [source] 4 years ago
Essentia Health-Deer River 115 10Th Ave Ne, Deer River A9502 $139 [source] 4 years ago
Essentia Health-Sandstone 705 Lundorff Dr, Sandstone A9502 $139 [source] 4 years ago
Essentia Health-Northern Pines 5211 Hwy 110, Aurora A9502 $139 [source] 4 years ago
Essentia Health St. Mary's-Detroit Lakes 1027 Washington Ave, Detroit Lakes A9502 $164 [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.