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
Maryland
Hospital Address Code Price Last Updated
Upmc Western Maryland 10701 New Georges Creek Rd Sw, Frostburg A9539 $30 [source] 4 years ago
The Good Samaritan Hospital 5601 Loch Raven Blvd, Baltimore A9539 $30 [source] 4 years ago
Sinai Hospital Of Baltimore 2401 W Belvedere Ave, Baltimore A9539 $37 [source] 4 years ago
The Union Memorial Hospital 201 E University Pkwy, Baltimore A9539 $38 [source] 4 years ago
Harbor Hospital 3001 S Hanover St, Brooklyn A9539 $51 [source] 4 years ago
Northwest Hospital Center 5401 Old Court Rd, Randallstown A9539 $101 [source] 4 years ago
The Johns Hopkins Hospital , Baltimore A9539 $206 [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.