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
Illinois
Hospital Address Code Price Last Updated
Adventist Bolingbrook Hospital 500 Remington Blvd, Bolingbrook A9510 $88 [source] 4 years ago
Presence St. Mary's Hospital 500 W Court St, Kankakee A9510 $118 [source] 4 years ago
Alexian Brothers Medical Center 935 Beisner Rd, Elk Grove Village A9510 $154 [source] 4 years ago
Adventist Hinsdale Hospital 120 N Oak St, Hinsdale A9510 $158 [source] 4 years ago
Adventist Lagrange Memorial Hospital 5101 Willow Springs Rd, La Grange A9510 $160 [source] 4 years ago
Adventist Glenoaks Hospital 701 Winthrop Ave, Glendale Heights A9510 $160 [source] 4 years ago
St. Alexius Medical Center 1555 Barrington Road, A9510 $160 [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.