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
Kentucky
Hospital Address Code Price Last Updated
Bluegrass Community Hospital 360 Amsden Avenue, Versailles A9539 $48 [source] 4 years ago
Clark Regional Medical Center 175 Hospital Drive, Winchester A9539 $105 [source] 4 years ago
Fleming County Hospital 55 Foundation Drive, Flemingsburg A9539 $113 [source] 4 years ago
Meadowview Regional Medical Center 989 Medical Park Drive, Maysville A9539 $149 [source] 4 years ago
Jackson Purchase Medical Center 1099 Medical Center Circle, Mayfield A9539 $265 [source] 4 years ago
Spring View Hospital 320 Loretto Road, Lebanon A9539 $332 [source] 4 years ago
Logan Memorial Hospital 1625 Nashville Street, Russellville A9539 $542 [source] 4 years ago
Lake Cumberland Regional Hospital 305 Langdon Street, Somerset A9539 $676 [source] 4 years ago
Manchester Memorial Hospital 210 Marie Langdon Dr, Manchester A9539 $785 [source] 4 years ago
Georgetown Community Hospital 1140 Lexington Rd, Georgetown A9539 $800 [source] 4 years ago
Bourbon Community Hospital 9 Linville Drive, Paris A9539 $910 [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.