Code: A9504

Description:
Description: Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI
TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI
TC99M APCITIDE
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: A9502
TC99M TETROFOSMIN DXDOSE
Code: A9503
TC99M MEDRONATE DX 30MCI
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
Tennessee
Hospital Address Code Price Last Updated
Ascension Saint Thomas Stones River 324 Doolittle Rd, Woodbury A9504 $1,041 [source] 4 years ago
Ascension Saint Thomas Dekalb 520 W Main St, Smithville A9504 $1,041 [source] 4 years ago
Saint Thomas Hickman Hospital 1518 Highway 100, Centerville A9504 $1,041 [source] 4 years ago
Ascension Saint Thomas Highlands 401 Sewell Dr, Sparta A9504 $1,041 [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.