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
Texas
Hospital Address Code Price Last Updated
Ascension Providence 6901 Medical Pkwy, Woodway A9510 $149 [source] 4 years ago
The Hospitals Of Providence Sierra Campus 1625 Medical Center Dr., El Paso A9510 $185 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson A9510 $322 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen A9510 $389 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas A9510 $389 [source] 4 years ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo A9510 $450 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco A9510 $505 [source] 4 years ago
Woman's Hospital Of Texas 7600 Fannin, Houston A9510 $513 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg A9510 $532 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen A9510 $532 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen A9510 $532 [source] 4 years ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills A9510 $537 [source] 4 years ago
Texoma Medical Center 5016 South Us Highway 75, Denison A9510 $590 [source] 4 years ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston A9510 $625 [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.