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

Kansas

Hospital	Address	Code	Price	Last Updated
Saint Luke’s South Hospital	12300 Metcalf Ave, Shawnee Mission	A9521	$1,900 [source]	4 years ago
Anderson County Hospital	421 S Maple St, Garnett	A9521	$3,061 [source]	4 years ago
Adventhealth Ransom Memorial, Inc.	1301 S Main St , Ottawa	A9521	$4,823 [source]	4 years ago
Menorah Medical Center	5721 W. 119Th Street, Shawnee Mission	A9521	$6,283 [source]	4 years ago
Overland Park Regional Medical Center	10500 Quivira Road, Shawnee Mission	A9521	$10,998 [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.