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
Illinois
Hospital Address Code Price Last Updated
Franciscan Health Olympia Fields , Olympia Fields A9521 $1,290 [source] 4 years ago
Adventist Bolingbrook Hospital 500 Remington Blvd, Bolingbrook A9521 $1,390 [source] 4 years ago
Presence St. Mary's Hospital 500 W Court St, Kankakee A9521 $1,849 [source] 4 years ago
Alexian Brothers Medical Center 935 Beisner Rd, Elk Grove Village A9521 $2,427 [source] 4 years ago
Adventist Hinsdale Hospital 120 N Oak St, Hinsdale A9521 $2,491 [source] 4 years ago
Adventist Lagrange Memorial Hospital 5101 Willow Springs Rd, La Grange A9521 $2,512 [source] 4 years ago
Adventist Glenoaks Hospital 701 Winthrop Ave, Glendale Heights A9521 $2,512 [source] 4 years ago
St. Alexius Medical Center 1555 Barrington Road, A9521 $2,523 [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.