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
Texas
Hospital Address Code Price Last Updated
Medical City Arlington 3301 Matlock Rd, Arlington A9521 $957 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg A9521 $1,290 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen A9521 $1,290 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen A9521 $1,290 [source] 4 years ago
Texas Children's Hospital 6621 Fannin St Houston, Houston A9521 $1,690 [source] 4 years ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo A9521 $2,205 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo A9521 $2,743 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson A9521 $2,832 [source] 4 years ago
Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd., Eagle Pass A9521 $2,977 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen A9521 $3,017 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas A9521 $3,017 [source] 4 years ago
Ascension Providence 6901 Medical Pkwy, Woodway A9521 $3,089 [source] 4 years ago
Woman's Hospital Of Texas 7600 Fannin, Houston A9521 $3,386 [source] 4 years ago
St. David's Healthcare , Round Rock A9521 $4,146 [source] 4 years ago
Corpus Christi Medical Center 7101 South Padre Island Dr, Corpus Christi A9521 $4,449 [source] 4 years ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving A9521 $4,457 [source] 4 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth A9521 $4,715 [source] 4 years ago
Medical City Lewisville 500 W Main St, Lewisville A9521 $4,938 [source] 4 years ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston A9521 $6,338 [source] 4 years ago
Medical City Weatherford 713 E Anderson St, Weatherford A9521 $6,851 [source] 4 years ago
Medical City Denton 3535 S Interstate 35, Corinth A9521 $8,507 [source] 4 years ago
Rio Grande Regional Hospital 101 East Ridge Road, Mcallen A9521 $9,730 [source] 4 years ago
Palestine Regional Medical Center 2900 South Loop 256, Palestine A9521 $10,229 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco A9521 $14,189 [source] 4 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas A9521 $19,330 [source] 4 years ago
Medical City Alliance 3101 N Tarrant Pkwy, Fort Worth A9521 $19,330 [source] 4 years ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills A9521 $22,831 [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.