Code: A9537

Description:

Description: Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental

Other Descriptions:

HC TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI

TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI

TC99M MEBROFENIN/STUDY DS

TC99M MEBROFENIN/STUDY DOSE

TC99M MEBROFENIN/STDY DS

RX DX Choletec per Dose

Tc99m Mebrofenin<15mci

Related codes:

I131 SOD IOD SOL TX MCI

I131 SODIUM IOD DX UCI

Description: Iodine i-125 serum albumin, diagnostic, per 5 microcuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental

SPL RADOPHRM DX IMAG AGT I-131 TOSITUMOMAB-MCI

SPL RADOPHRM TX IMAG AGT I-131 TOSITUMOMAB-MCI

INJECTION METHYLENE BLUE 1 ML

TC99M DEPREOTID DX 35MCI

TC99M PYROPHOS DX 25MCI

TC99M PENTETATE DX 25MCI

State	Average	# Hospitals In Database
New Jersey (NJ)	$34	2
Hawaii (HI)	$40	1
Arkansas (AR)	$54	2
New York (NY)	$56	3
Utah (UT)	$57	1
Minnesota (MN)	$88	30
Illinois (IL)	$94	1
Ohio (OH)	$105	10
Mississippi (MS)	$115	7
Nebraska (NE)	$122	11
Maryland (MD)	$124	7
Iowa (IA)	$126	3
Oregon (OR)	$156	4
Vermont (VT)	$159	2
Kansas (KS)	$185	10
Delaware (DE)	$202	1
Idaho (ID)	$204	10
North Dakota (ND)	$206	4
Tennessee (TN)	$208	13
District of Columbia (DC)	$210	1
New Hampshire (NH)	$212	7
North Carolina (NC)	$215	29
Oklahoma (OK)	$229	4
Alabama (AL)	$232	13
Indiana (IN)	$238	16
Maine (ME)	$240	5
Wisconsin (WI)	$251	30
California (CA)	$256	81
South Dakota (SD)	$258	5
Washington (WA)	$276	7
Pennsylvania (PA)	$280	5
Arizona (AZ)	$286	2
South Carolina (SC)	$308	9
Connecticut (CT)	$308	6
Kentucky (KY)	$317	11
West Virginia (WV)	$318	5
Massachusetts (MA)	$327	10
Michigan (MI)	$355	143
Alaska (AK)	$365	2
Georgia (GA)	$407	23
Rhode Island (RI)	$419	4
New Mexico (NM)	$429	2
Florida (FL)	$469	116
Louisiana (LA)	$474	3
Missouri (MO)	$477	12
Nevada (NV)	$528	19
Virginia (VA)	$607	6
Texas (TX)	$658	50
Colorado (CO)	$1,285	1

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.