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
Georgia
Hospital Address Code Price Last Updated
Fairview Park Hospital 200 Industrial Boulevard, Dublin A9539 $89 [source] 4 years ago
Emory University Hospital Decatur 2165 N Decatur Rd , Decatur A9539 $93 [source] 4 years ago
Emory University Hospital 1364 Clifton Rd Ne, Atlanta A9539 $100 [source] 4 years ago
Wellstar Atlanta Medical Center 303 Parkway Dr Ne, Atlanta, Georgia, Atlanta A9539 $165 [source] 4 years ago
Murray Medical Center, Inc. 104 Hospital Dr, Chatsworth A9539 $215 [source] 4 years ago
Adventist Health System Georgia, Inc 170 Curtis Pkwy Ne, Calhoun A9539 $215 [source] 4 years ago
Adventhealth Gordon 105 Willowbrook Way Se, Calhoun A9539 $215 [source] 4 years ago
Murray County Memorial Hospital Authority 707 Old Dalton Ellijay Rd, Chatsworth A9539 $215 [source] 4 years ago
Adventist Health System Georgia Inc 1035 Red Bud Rd Ne, Calhoun A9539 $215 [source] 4 years ago
Eastside Medical Center 1700 Medical Way, Snellville A9539 $323 [source] 4 years ago
Memorial Satilla Health 1900 Tebeau St, Waycross A9539 $361 [source] 4 years ago
Coliseum Health System 350 Hospital Dr, Macon A9539 $416 [source] 4 years ago
Cartersville Medical Center 960 Joe Frank Harris Pkwy, Cartersville A9539 $441 [source] 4 years ago
Memorial Health 4700 Waters Avenue, Savannah A9539 $443 [source] 4 years ago
Doctors Hospital Of Augusta 3651 Wheeler Rd, Augusta A9539 $684 [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.