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

Oklahoma

Hospital	Address	Code	Price	Last Updated
St John Sapulpa, Inc.	1004 E Bryan Ave, Sapulpa	A9502	$104 [source]	4 years ago
St. John Owasso	12451 E 100Th St N, Owasso	A9502	$112 [source]	4 years ago
St. John Medical Center	1923 S Utica Ave, Tulsa	A9502	$116 [source]	4 years ago
St. Mary’S Regional Medical Center	305 South 5Th Street, Enid	A9502	$587 [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.