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
Wisconsin
Hospital Address Code Price Last Updated
River Falls Area Hospital , River Falls A9502 $56 [source] 4 years ago
Essentia Health St. Mary's Hospital-Superior 3500 Tower Ave, Superior A9502 $139 [source] 4 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton A9502 $156 [source] 4 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee A9502 $303 [source] 4 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand A9502 $323 [source] 4 years ago
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy A9502 $585 [source] 4 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton A9502 $585 [source] 4 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh A9502 $585 [source] 4 years ago
Aurora Medical Center Of Washington County 1032 E Sumner St, Hartford A9502 $585 [source] 4 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee A9502 $585 [source] 4 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette A9502 $585 [source] 4 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc A9502 $585 [source] 4 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay A9502 $585 [source] 4 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee A9502 $585 [source] 4 years ago
Aurora Lakeland Medical Center W3930 County Road Nn, Elkhorn A9502 $585 [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.