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
Texas
Hospital Address Code Price Last Updated
Nacogdoches Medical Center 4920 Ne Stallings Dr., Nacogdoches A9502 $168 [source] 4 years ago
Ascension Providence 6901 Medical Pkwy, Woodway A9502 $207 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen A9502 $323 [source] 4 years ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston A9502 $372 [source] 4 years ago
Ennis Regional Medical Center 2201 West Lampasas, Waxahachie A9502 $372 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo A9502 $504 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas A9502 $635 [source] 4 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas A9502 $642 [source] 4 years ago
Corpus Christi Medical Center 7101 South Padre Island Dr, Corpus Christi A9502 $654 [source] 4 years ago
St. David's Healthcare , Round Rock A9502 $671 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson A9502 $760 [source] 4 years ago
Valley Baptist Medical Center 2101 Pease Street, Harlingen A9502 $791 [source] 4 years ago
The Hospitals Of Providence Transmountain Campus 2000 Transmountain Road, El Paso A9502 $820 [source] 4 years ago
The Hospitals Of Providence Sierra Campus 1625 Medical Center Dr., El Paso A9502 $823 [source] 4 years ago
The Hospitals Of Providence East Campus 3280 Joe Battle Blvd., El Paso A9502 $828 [source] 4 years ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving A9502 $900 [source] 4 years ago
The Hospitals Of Providence Memorial Campus 2001 North Oregon, El Paso A9502 $954 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen A9502 $984 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen A9502 $984 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg A9502 $984 [source] 4 years ago
Texoma Medical Center 5016 South Us Highway 75, Denison A9502 $1,041 [source] 4 years ago
Northeast Baptist Hospital 8811 Village Dr., San Antonio A9502 $1,270 [source] 4 years ago
St. Luke's Baptist Hospital 7930 Floyd Curl Dr., San Antonio A9502 $1,270 [source] 4 years ago
Baptist Medical Center 111 Dallas St., San Antonio A9502 $1,270 [source] 4 years ago
Mission Trail Baptist Hospital 3333 Research Plaza, San Antonio A9502 $1,270 [source] 4 years ago
North Central Baptist Hospital 520 Madison Oak Dr., San Antonio A9502 $1,270 [source] 4 years ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills A9502 $1,672 [source] 4 years ago
Valley Regional Medical Center 100-A Alton Gloor Blvd, Brownsville A9502 $1,682 [source] 4 years ago
Medical City Arlington 3301 Matlock Rd, Arlington A9502 $3,120 [source] 4 years ago
Palestine Regional Medical Center 2900 South Loop 256, Palestine A9502 $3,339 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco A9502 $3,528 [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.