Code: A9538

Description:

Description: Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental

Other Descriptions:

HC TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI

HC PYROPHOSPHTE TC UP TO 25MCI

TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI

TC99M PYROPHOSPHAE/STDY DS

TC99MPYROPHOSPHATE/STDYDS

TC99M PYROPHOSPHATE/STDY DS

RX DX 99MTC Pyrophosphate Dose

Technetium Tc-99m Pyrophosphate, Diagnostic

Tc99m Pyrophosphate =< 25 Mci

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: A9537

TC99M MEBROFEN DX 15MCI

Code: A9539

TC99M PENTETATE DX 25MCI

Nebraska

Hospital	Address	Code	Price	Last Updated
Chi Health St. Elizabeth	555 S. 70Th St., Lincoln	A9538	$87 [source]	4 years ago
Chi Health Good Samaritan	10 E 31St St, Kearney	A9538	$109 [source]	4 years ago
Chi Health St. Francis	2116 W Faidley Ave, Grand Island	A9538	$109 [source]	4 years ago
Chi Health Lakeside	17201 Wright St, Omaha	A9538	$173 [source]	4 years ago
Chi Health Midlands	11111 S 84Th St, Papillion	A9538	$173 [source]	4 years ago
Chi Health Creighton University Medical Center - Bergan Mercy	7500 Mercy Rd, Omaha	A9538	$173 [source]	4 years ago
Chi Health Immanuel	7101 Newport Ave, Omaha	A9538	$173 [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.