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:
Code: A9530
I131 SOD IOD SOL TX MCI
Code: A9531
I131 SODIUM IOD DX UCI
Code: A9532
Description: Iodine i-125 serum albumin, diagnostic, per 5 microcuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A9533
SPL RADOPHRM DX IMAG AGT I-131 TOSITUMOMAB-MCI
Code: A9534
SPL RADOPHRM TX IMAG AGT I-131 TOSITUMOMAB-MCI
Code: A9535
INJECTION METHYLENE BLUE 1 ML
Code: A9536
TC99M DEPREOTID DX 35MCI
Code: A9538
TC99M PYROPHOS DX 25MCI
Code: A9539
TC99M PENTETATE DX 25MCI
Michigan
Hospital Address Code Price Last Updated
Mclaren Port Huron 1221 Pine Grove Ave, Port Huron A9537 $32 [source] 4 years ago
Mclaren Caro Region 401 N Hooper St, Caro A9537 $58 [source] 4 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak A9537 $74 [source] 4 years ago
Mclaren Lapeer Region 1375 N Main St, Lapeer A9537 $78 [source] 4 years ago
Midmichigan Medical Center Gratiot 300 E Warwick Dr, Alma A9537 $81 [source] 4 years ago
Midmichigan Medical Center Gladwin , Gladwin A9537 $82 [source] 4 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren A9537 $88 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield A9537 $90 [source] 4 years ago
Mclaren Bay Special Care Hospital 3250 E Midland Rd Suite 1, Bay City A9537 $94 [source] 4 years ago
Mclaren Bay Region 1900 Columbus Ave, Bay City A9537 $94 [source] 4 years ago
St. John Providence 28000 Dequindre Rd, Warren A9537 $95 [source] 4 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester A9537 $96 [source] 4 years ago
William Beaumont Hospital 468 Cadieux Rd, Grosse Pointe A9537 $101 [source] 4 years ago
Dmc Children's Hospital Of Michigan 3901 Beaubien Blvd., Detroit A9537 $105 [source] 4 years ago
Karmanos Cancer Institute 4100 John R St, Detroit A9537 $129 [source] 4 years ago
Mclaren Oakland 50 N Perry St, Pontiac A9537 $137 [source] 4 years ago
Mclaren Greater Lansing 401 W Greenlawn Ave, Lansing A9537 $145 [source] 4 years ago
Dmc Huron Valley - Sinai Hospital 1 William Carls Drive, Commerce Township A9537 $152 [source] 4 years ago
Dmc Hutzel Women's Hospital 3990 John R Street, Detroit A9537 $165 [source] 4 years ago
Aspirus Iron River Hospital 1400 W Ice Lake Rd, Iron River A9537 $171 [source] 4 years ago
Aspirus Keweenaw Hospital 205 Osceola Street, Calumet A9537 $171 [source] 4 years ago
Aspirus Ontonagon Hospital 601 S Seventh St, Ontonagon A9537 $171 [source] 4 years ago
Aspirus Ironwood Hospital N10565 Grandview Ln, Ironwood A9537 $171 [source] 4 years ago
Mclaren Macomb 1000 Harrington St, Mount Clemens A9537 $185 [source] 4 years ago
Mclaren Flint 401 S Ballenger Hwy, Flint A9537 $196 [source] 4 years ago
Oakwood Healthcare, Inc. 5450 Fort St, Trenton A9537 $234 [source] 4 years ago
Oakwood Healthcare Inc Beaumont Service Center, A9537 $234 [source] 4 years ago
Oakwood Healthcare, Inc. 10000 Telegraph Rd, Taylor A9537 $234 [source] 4 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn A9537 $234 [source] 4 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn A9537 $234 [source] 4 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn A9537 $234 [source] 4 years ago
Oakwood Healthcare, Inc. 33155 Annapolis St, Wayne A9537 $234 [source] 4 years ago
Mclaren Central Michigan 1221 South Dr, Mount Pleasant A9537 $381 [source] 4 years ago
Mclaren Northern Michigan 416 Connable Ave, Petoskey A9537 $446 [source] 4 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak A9537 $468 [source] 4 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak A9537 $468 [source] 4 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak A9537 $468 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre, Troy A9537 $468 [source] 4 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy A9537 $468 [source] 4 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak A9537 $468 [source] 4 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak A9537 $468 [source] 4 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak A9537 $468 [source] 4 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak A9537 $468 [source] 4 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak A9537 $468 [source] 4 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington A9537 $468 [source] 4 years ago
Botsford General Hospital 28050 Grand River Ave, Farmington A9537 $468 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy A9537 $468 [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.