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
Michigan
Hospital Address Code Price Last Updated
Aspirus Keweenaw Hospital 205 Osceola Street, Calumet A9521 $893 [source] 4 years ago
Mclaren Greater Lansing 401 W Greenlawn Ave, Lansing A9521 $1,261 [source] 4 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren A9521 $1,418 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield A9521 $1,454 [source] 4 years ago
Mclaren Central Michigan 1221 South Dr, Mount Pleasant A9521 $1,502 [source] 4 years ago
Mclaren Bay Special Care Hospital 3250 E Midland Rd Suite 1, Bay City A9521 $1,516 [source] 4 years ago
Mclaren Bay Region 1900 Columbus Ave, Bay City A9521 $1,516 [source] 4 years ago
St. John Providence 28000 Dequindre Rd, Warren A9521 $1,529 [source] 4 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester A9521 $1,544 [source] 4 years ago
Mclaren Northern Michigan 416 Connable Ave, Petoskey A9521 $1,738 [source] 4 years ago
Mclaren Caro Region 401 N Hooper St, Caro A9521 $1,844 [source] 4 years ago
Up Health System – Marquette 580 West College Avenue, Marquette A9521 $1,871 [source] 4 years ago
Karmanos Cancer Institute 4100 John R St, Detroit A9521 $2,048 [source] 4 years ago
Mclaren Oakland 50 N Perry St, Pontiac A9521 $2,067 [source] 4 years ago
Mclaren Lapeer Region 1375 N Main St, Lapeer A9521 $2,086 [source] 4 years ago
Midmichigan Medical Center Gladwin , Gladwin A9521 $2,356 [source] 4 years ago
Mclaren Macomb 1000 Harrington St, Mount Clemens A9521 $2,978 [source] 4 years ago
Mclaren Flint 401 S Ballenger Hwy, Flint A9521 $4,037 [source] 4 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn A9521 $4,053 [source] 4 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn A9521 $4,053 [source] 4 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn A9521 $4,053 [source] 4 years ago
Oakwood Healthcare Inc Beaumont Service Center, A9521 $4,053 [source] 4 years ago
Oakwood Healthcare, Inc. 33155 Annapolis St, Wayne A9521 $4,053 [source] 4 years ago
Oakwood Healthcare, Inc. 5450 Fort St, Trenton A9521 $4,053 [source] 4 years ago
Oakwood Healthcare, Inc. 10000 Telegraph Rd, Taylor A9521 $4,053 [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.