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
Missouri
Hospital Address Code Price Last Updated
Saint Luke’s North Hospital 5830 Nw Barry Rd, Kansas City A9537 $113 [source] 4 years ago
Belton Regional Medical Center 17065 S. 71 Highway, Belton A9537 $151 [source] 4 years ago
Hedrick Medical Center 2799 N Washington St, Chillicothe A9537 $177 [source] 4 years ago
Saint Luke’s East Hospital 100 Ne Saint Luke's Blvd, Lees Summit A9537 $183 [source] 4 years ago
Saint Luke’s Hospital 4401 Wornall Rd, Kansas City A9537 $219 [source] 4 years ago
Research Medical Center 2316 E Meyer Blvd, Kansas City A9537 $322 [source] 4 years ago
Lafayette Regional Health Center 1500 State Street, Lexington A9537 $461 [source] 4 years ago
Centerpoint Medical Center 19600 East 39Th Street, Independence A9537 $1,078 [source] 4 years ago
Lee's Summit Medical Center 2100 Se Blue Parkway, Lees Summit A9537 $1,118 [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.