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
Missouri
Hospital Address Code Price Last Updated
Saint Luke’s East Hospital 100 Ne Saint Luke's Blvd, Lees Summit A9521 $1,900 [source] 4 years ago
Saint Luke’s Hospital 4401 Wornall Rd, Kansas City A9521 $1,987 [source] 4 years ago
Hedrick Medical Center 2799 N Washington St, Chillicothe A9521 $2,789 [source] 4 years ago
Saint Luke’s North Hospital 5830 Nw Barry Rd, Kansas City A9521 $3,828 [source] 4 years ago
Lafayette Regional Health Center 1500 State Street, Lexington A9521 $4,463 [source] 4 years ago
Belton Regional Medical Center 17065 S. 71 Highway, Belton A9521 $5,240 [source] 4 years ago
Lee's Summit Medical Center 2100 Se Blue Parkway, Lees Summit A9521 $6,482 [source] 4 years ago
Centerpoint Medical Center 19600 East 39Th Street, Independence A9521 $10,270 [source] 4 years ago
Research Medical Center 2316 E Meyer Blvd, Kansas City A9521 $13,515 [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.