Code: A9510

Description:
Description: Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI
HC RP HEPATOLITE
TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI
TC99M DISOFENIN PER VIAL
TC99M DISOFENIN PER BIAL
RX DX 99MTC Disofenin per Dose
Related codes:
Code: A9512
TC99M PERTECHNETA DX MCI
Code: A9513
LU177 DOTATATE TX 200MCI
Code: A9515
Description: Choline c-11, diagnostic, per study dose up to 20 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A9516
I123 SOD DX 100-999 UCI
Code: A9517
I131 SOD IOD CAP TX MCI
Code: A9518
I-131 SODIUM IODIDE SOLUTION
Code: A9519
TECHNETIUMTC-99MMACROAG ALBU
State Average # Hospitals In Database
Minnesota (MN) $34 13
Arkansas (AR) $37 1
Vermont (VT) $87 1
Washington (WA) $116 1
Alabama (AL) $140 2
New York (NY) $141 4
Illinois (IL) $143 7
Maryland (MD) $153 5
Hawaii (HI) $177 5
North Carolina (NC) $179 14
Tennessee (TN) $182 7
Oklahoma (OK) $184 2
West Virginia (WV) $193 2
Kansas (KS) $204 4
District of Columbia (DC) $224 1
New Hampshire (NH) $227 2
Iowa (IA) $238 3
Georgia (GA) $247 9
California (CA) $263 56
Nebraska (NE) $273 9
Missouri (MO) $275 1
Kentucky (KY) $280 3
Maine (ME) $306 2
Wyoming (WY) $358 2
Wisconsin (WI) $373 12
Utah (UT) $405 3
Connecticut (CT) $426 3
Arizona (AZ) $451 1
Texas (TX) $466 17
Rhode Island (RI) $497 3
Florida (FL) $533 74
Idaho (ID) $538 2
Michigan (MI) $583 131
South Carolina (SC) $991 1
Virginia (VA) $1,101 3
Nevada (NV) $1,818 10

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.