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
Michigan
Hospital Address Code Price Last Updated
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak A9510 $47 [source] 4 years ago
William Beaumont Hospital 468 Cadieux Rd, Grosse Pointe A9510 $69 [source] 4 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren A9510 $76 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield A9510 $78 [source] 4 years ago
St. John Providence 28000 Dequindre Rd, Warren A9510 $82 [source] 4 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester A9510 $82 [source] 4 years ago
Mclaren Lapeer Region 1375 N Main St, Lapeer A9510 $87 [source] 4 years ago
Mclaren Caro Region 401 N Hooper St, Caro A9510 $111 [source] 4 years ago
Mclaren Flint 401 S Ballenger Hwy, Flint A9510 $123 [source] 4 years ago
Mclaren Greater Lansing 401 W Greenlawn Ave, Lansing A9510 $134 [source] 4 years ago
Mclaren Oakland 50 N Perry St, Pontiac A9510 $137 [source] 4 years ago
Mclaren Bay Region 1900 Columbus Ave, Bay City A9510 $241 [source] 4 years ago
Mclaren Bay Special Care Hospital 3250 E Midland Rd Suite 1, Bay City A9510 $241 [source] 4 years ago
Mclaren Central Michigan 1221 South Dr, Mount Pleasant A9510 $260 [source] 4 years ago
Oakwood Healthcare, Inc. 10000 Telegraph Rd, Taylor A9510 $362 [source] 4 years ago
Oakwood Healthcare, Inc. 5450 Fort St, Trenton A9510 $362 [source] 4 years ago
Oakwood Healthcare, Inc. 33155 Annapolis St, Wayne A9510 $362 [source] 4 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn A9510 $362 [source] 4 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn A9510 $362 [source] 4 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn A9510 $362 [source] 4 years ago
Oakwood Healthcare Inc Beaumont Service Center, A9510 $362 [source] 4 years ago
Mclaren Macomb 1000 Harrington St, Mount Clemens A9510 $398 [source] 4 years ago
Aspirus Keweenaw Hospital 205 Osceola Street, Calumet A9510 $403 [source] 4 years ago
Aspirus Ironwood Hospital N10565 Grandview Ln, Ironwood A9510 $403 [source] 4 years ago
Aspirus Iron River Hospital 1400 W Ice Lake Rd, Iron River A9510 $403 [source] 4 years ago
Up Health System – Marquette 580 West College Avenue, Marquette A9510 $673 [source] 4 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy A9510 $724 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre, Troy A9510 $724 [source] 4 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak A9510 $724 [source] 4 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak A9510 $724 [source] 4 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak A9510 $724 [source] 4 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak A9510 $724 [source] 4 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak A9510 $724 [source] 4 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington A9510 $724 [source] 4 years ago
Botsford General Hospital 28050 Grand River Ave, Farmington A9510 $724 [source] 4 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak A9510 $724 [source] 4 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak A9510 $724 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy A9510 $724 [source] 4 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak A9510 $724 [source] 4 years ago
Mclaren Thumb Region 1100 S Van Dyke Rd, Bad Axe A9510 $861 [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.