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
Tennessee
Hospital Address Code Price Last Updated
Saint Thomas River Park Hospital, Llc 120 Walnut Commons Ln Ste D, Cookeville A9510 $144 [source] 4 years ago
Ascension Saint Thomas Stones River 324 Doolittle Rd, Woodbury A9510 $144 [source] 4 years ago
Ascension Saint Thomas Dekalb 520 W Main St, Smithville A9510 $144 [source] 4 years ago
Saint Thomas Hickman Hospital 1518 Highway 100, Centerville A9510 $144 [source] 4 years ago
Ascension Saint Thomas Highlands 401 Sewell Dr, Sparta A9510 $144 [source] 4 years ago
Southern Tennessee Regional Health System - Pulaski 1265 East College Street, Pulaski A9510 $214 [source] 4 years ago
Southern Tennessee Regional Health System - Winchester 185 Hospital Road, Winchester A9510 $336 [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.