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
Idaho
Hospital Address Code Price Last Updated
Caribou Memorial Hospital 300 S 3Rd W, Soda Springs A9539 $139 [source] 4 years ago
Kootenai Health 2003 Kootenai Health Way, Coeur D Alene A9539 $157 [source] 4 years ago
Lost Rivers Medical Center 551 Highland Dr, Arco A9539 $172 [source] 4 years ago
Bear Lake Memorial Hospital 164 S 5Th St, Montpelier A9539 $260 [source] 4 years ago
Eastern Idaho Regional Medical Center 3100 Channing Way, Idaho Falls A9539 $265 [source] 4 years ago
West Valley Medical Center 1717 Arlington Ave., Caldwell A9539 $323 [source] 4 years ago
Bonner General Hospital 520 N 3Rd Ave, Sandpoint A9539 $388 [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.