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
North Carolina
Hospital Address Code Price Last Updated
Cone Health Moses Cone Hospital 1121 North Church St Entrance A, Greensboro A9502 $50 [source] 4 years ago
Atrium Health University 8800 N. Tryon St. , Charlotte A9502 $71 [source] 4 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte A9502 $72 [source] 4 years ago
Atrium Health Lincoln 433 Mcalister Road , Lincolnton A9502 $72 [source] 4 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte A9502 $75 [source] 4 years ago
Atrium Health Pineville 10628 Park Road , Charlotte A9502 $78 [source] 4 years ago
Atrium Health Cabarrus 920 Church Street North , Concord A9502 $78 [source] 4 years ago
Atrium Health Union 600 Hospital Drive , Monroe A9502 $88 [source] 4 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby A9502 $103 [source] 4 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle A9502 $109 [source] 4 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro A9502 $116 [source] 4 years ago
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington A9502 $144 [source] 4 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville A9502 $144 [source] 4 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro A9502 $144 [source] 4 years ago
Moses Cone Hospital 1131D N Church St, Greensboro A9502 $144 [source] 4 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro A9502 $144 [source] 4 years ago
Atrium Health Behavioral Health 501 Billingsley Road , Charlotte A9502 $196 [source] 4 years ago
Carolinas Rehabilitation 1100 Blythe Blvd. , Charlotte A9502 $196 [source] 4 years ago
Wilson Medical Center 1705 Tarboro Street Sw, Wilson A9502 $220 [source] 4 years ago
Mcdowell Hospital , Marion A9502 $309 [source] 4 years ago
Harris Regional Hospital 68 Hospital Road, Sylva A9502 $598 [source] 4 years ago
Adventhealth Hendersonville 100 Hospital Dr, Hendersonville A9502 $889 [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.