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
Missouri
Hospital Address Code Price Last Updated
Saint Luke’s North Hospital 5830 Nw Barry Rd, Kansas City A9502 $88 [source] 4 years ago
Lee's Summit Medical Center 2100 Se Blue Parkway, Lees Summit A9502 $258 [source] 4 years ago
Saint Luke’s East Hospital 100 Ne Saint Luke's Blvd, Lees Summit A9502 $333 [source] 4 years ago
Hedrick Medical Center 2799 N Washington St, Chillicothe A9502 $390 [source] 4 years ago
Saint Luke’s Hospital 4401 Wornall Rd, Kansas City A9502 $411 [source] 4 years ago
Centerpoint Medical Center 19600 East 39Th Street, Independence A9502 $947 [source] 4 years ago
Research Medical Center 2316 E Meyer Blvd, Kansas City A9502 $1,310 [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.