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
Wisconsin
Hospital Address Code Price Last Updated
River Falls Area Hospital , River Falls A9521 $78 [source] 4 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau A9521 $893 [source] 4 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, A9521 $893 [source] 4 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids A9521 $893 [source] 4 years ago
Watertown Regional Medical Center 125 Hospital Drive, Watertown A9521 $1,381 [source] 4 years ago
Aspirus Divine Savior Hospital 2817 New Pinery Rd, Portage A9521 $2,031 [source] 4 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton A9521 $2,324 [source] 4 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh A9521 $2,480 [source] 4 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton A9521 $2,480 [source] 4 years ago
Aurora Medical Center Kenosha 10400 75Th St, Kenosha A9521 $2,480 [source] 4 years ago
Aurora Medical Center Of Washington County 1032 E Sumner St, Hartford A9521 $2,480 [source] 4 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee A9521 $2,480 [source] 4 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette A9521 $2,480 [source] 4 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc A9521 $2,480 [source] 4 years ago
Aurora Medical Center Of Manitowoc County 5000 Memorial Dr, Two Rivers A9521 $2,480 [source] 4 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay A9521 $2,480 [source] 4 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee A9521 $2,480 [source] 4 years ago
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy A9521 $2,480 [source] 4 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee A9521 $4,530 [source] 4 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand A9521 $4,823 [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.