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
Ohio
Hospital Address Code Price Last Updated
Cleveland Clinic Main Campus 9500 Euclid Ave, Cleveland A9521 $1,700 [source] 4 years ago
Medina Hospital 1000 E. Washington St., Medina A9521 $1,700 [source] 4 years ago
Euclid Hospital 18901 Lakeshore Blvd., Cleveland A9521 $5,188 [source] 4 years ago
Lutheran Hospital 1730 West 25Th Street, Cleveland A9521 $5,188 [source] 4 years ago
Fairview Hospital 18101 Lorain Ave., Cleveland A9521 $5,188 [source] 4 years ago
South Pointe Hospital 20000 Harvard Rd., Cleveland A9521 $5,188 [source] 4 years ago
Hillcrest Hospital 6780 Mayfield Rd., Cleveland A9521 $5,188 [source] 4 years ago
Marymount Hospital 12300 Mccracken Road, Cleveland A9521 $5,188 [source] 4 years ago
Akron General 1 Akron General Ave., Akron A9521 $5,402 [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.