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
Georgia
Hospital Address Code Price Last Updated
Emory University Hospital Decatur 2165 N Decatur Rd , Decatur A9521 $2,618 [source] 4 years ago
Coliseum Health System 350 Hospital Dr, Macon A9521 $2,951 [source] 4 years ago
Redmond Regional Medical Center 501 Redmond Rd, Rome A9521 $3,862 [source] 4 years ago
Cartersville Medical Center 960 Joe Frank Harris Pkwy, Cartersville A9521 $3,921 [source] 4 years ago
Emory University Hospital 1364 Clifton Rd Ne, Atlanta A9521 $4,452 [source] 4 years ago
Murray Medical Center, Inc. 104 Hospital Dr, Chatsworth A9521 $4,823 [source] 4 years ago
Adventist Health System Georgia, Inc 170 Curtis Pkwy Ne, Calhoun A9521 $4,823 [source] 4 years ago
Adventhealth Gordon 105 Willowbrook Way Se, Calhoun A9521 $4,823 [source] 4 years ago
Murray County Memorial Hospital Authority 707 Old Dalton Ellijay Rd, Chatsworth A9521 $4,823 [source] 4 years ago
Adventist Health System Georgia Inc 1035 Red Bud Rd Ne, Calhoun A9521 $4,823 [source] 4 years ago
Memorial Health 4700 Waters Avenue, Savannah A9521 $5,464 [source] 4 years ago
Memorial Satilla Health 1900 Tebeau St, Waycross A9521 $6,662 [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.