Code: A9521

Description:
Description: Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI
HC RP CERETEC UP TO 25MCI
TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI
TECHNETIUM TC99 M EXAMETA
CERETEC HMPAO-PER DOSE
TC99M EXAMETAZINE DOSE
TC99M CERETEC UP TO 24 MCI
RX DX 99MTC Ceretec per Dose
Tc99m Exametazime<25mci
Related codes:
Code: A9520
TC99M TILMANOC DX 0.5MCI
Code: A9522
INDIUM111IBRITUMOMABTIUXETAN
Code: A9523
YTTRIUM90IBRITUMOMABTIUXETAN
Code: A9524
I131 SERUM ALBUM DX 5UCI
Code: A9526
AMMONIA N13 DX 40 MCI
Code: A9527
I-125 SOD IOD SOL TH MCI
Code: A9528
I131 SOD IOD CAP DX MCI
Code: A9529
I131 SOD IOD SOL DX MCI
State Average # Hospitals In Database
Minnesota (MN) $608 14
New Jersey (NJ) $1,055 2
Vermont (VT) $1,272 1
Mississippi (MS) $1,283 6
Wyoming (WY) $1,337 2
Rhode Island (RI) $1,794 3
Oklahoma (OK) $1,825 2
North Dakota (ND) $1,868 2
Illinois (IL) $2,124 8
West Virginia (WV) $2,229 3
District of Columbia (DC) $2,298 1
Tennessee (TN) $2,331 12
Wisconsin (WI) $2,379 21
New Mexico (NM) $2,431 1
New York (NY) $2,539 3
California (CA) $2,607 69
Utah (UT) $2,747 3
Michigan (MI) $2,829 37
Oregon (OR) $2,847 3
Maryland (MD) $2,919 5
Hawaii (HI) $3,228 6
Arizona (AZ) $3,302 1
Delaware (DE) $3,621 1
Pennsylvania (PA) $3,652 2
North Carolina (NC) $3,860 20
Indiana (IN) $3,871 9
New Hampshire (NH) $4,193 4
Kentucky (KY) $4,234 4
Virginia (VA) $4,393 6
Ohio (OH) $4,437 9
Georgia (GA) $4,744 17
South Carolina (SC) $4,794 8
Washington (WA) $5,054 2
Alabama (AL) $5,251 7
Idaho (ID) $5,320 3
Nebraska (NE) $5,338 10
Iowa (IA) $5,627 3
Texas (TX) $6,189 36
Missouri (MO) $6,245 12
Nevada (NV) $6,258 17
Kansas (KS) $6,335 7
Alaska (AK) $6,684 2
Florida (FL) $7,320 105
Maine (ME) $8,864 1
Connecticut (CT) $15,887 5
Louisiana (LA) $18,810 2

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.