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
Nebraska
Hospital Address Code Price Last Updated
Chi Health St. Mary 1301 Grundman Blvd, Nebraska City A9537 $78 [source] 4 years ago
Chi Health Good Samaritan 10 E 31St St, Kearney A9537 $94 [source] 4 years ago
Chi Health St. Elizabeth 555 S. 70Th St., Lincoln A9537 $118 [source] 4 years ago
Chi Health Schuyler 1721 Colfax St, Schuyler A9537 $119 [source] 4 years ago
Chi Health Plainview 704 N 3Rd St, Plainview A9537 $119 [source] 4 years ago
Chi Health St. Francis 2116 W Faidley Ave, Grand Island A9537 $121 [source] 4 years ago
Chi Health Nebraska Heart 7500 So. 91St St., Lincoln A9537 $136 [source] 4 years ago
Chi Health Lakeside 17201 Wright St, Omaha A9537 $139 [source] 4 years ago
Chi Health Midlands 11111 S 84Th St, Papillion A9537 $139 [source] 4 years ago
Chi Health Creighton University Medical Center - Bergan Mercy 7500 Mercy Rd, Omaha A9537 $139 [source] 4 years ago
Chi Health Immanuel 7101 Newport Ave, Omaha A9537 $139 [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.