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
Nevada
Hospital Address Code Price Last Updated
Valley Hospital Medical Center 620 Shadow Lane, Las Vegas A9521 $1,234 [source] 4 years ago
Desert Springs Hospital 2075 E Flamingo Rd, Las Vegas A9521 $3,126 [source] 4 years ago
Carson Valley Medical Center 1107 Hwy 395, Gardnerville A9521 $3,242 [source] 4 years ago
Boulder City Hospital 901 Adams Blvd, Boulder City A9521 $3,335 [source] 4 years ago
Spring Valley Medical Center 5400 S Rainbow Blvd, Las Vegas A9521 $3,431 [source] 4 years ago
Henderson Hospital 1050 West Galleria Drive, Henderson A9521 $3,592 [source] 4 years ago
Centennial Hills Hospital Medical Center 6900 N Durango Drive, Las Vegas A9521 $3,592 [source] 4 years ago
Summerlin Hospital Medical Center 657 Town Center Dr, Las Vegas A9521 $3,718 [source] 4 years ago
Renown Regional Medical Center 1155 Mill Street, Reno A9521 $5,985 [source] 4 years ago
Renown South Meadows Medical Center 10101 Double R Blvd, Reno A9521 $5,985 [source] 4 years ago
Northern Nevada Medical Center 2375 E Prater Way, Sparks A9521 $6,224 [source] 4 years ago
Southern Hills Hospital & Medical Center 9300 W Sunset Rd, Las Vegas A9521 $8,616 [source] 4 years ago
Mountainview Hospital 3100 N Tenaya Way, Las Vegas A9521 $9,296 [source] 4 years ago
Sunrise Hospital & Medical Center 3186 S Maryland Pkwy, Las Vegas A9521 $13,551 [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.