Code: A9539

Description:

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

Other Descriptions:

RP DTPA

HC RP DTPA

TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI

T99 PENTETATE

PENTETATE

RX DX 99MTC DTPA per Dose

Tc99m Pentetate<25mci

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: A9538

TC99M PYROPHOS DX 25MCI

Connecticut

Hospital	Address	Code	Price	Last Updated
St Vincent's Medical Center	2600 Park Ave, Unit 1M, Bridgeport	A9539	$70 [source]	4 years ago
Norwalk Hospital	40 Prospect Ave, Norwalk	A9539	$106 [source]	4 years ago
Danbury Hospital	24 Hospital Ave, Danbury	A9539	$124 [source]	4 years ago
The Hospital Of Central Connecticut	100 Grand St, Emergency Department, New Britain	A9539	$221 [source]	4 years ago
Middlesex Hospital	520 Saybrook Rd Ste N100, Middletown	A9539	$223 [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.