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
North Carolina
Hospital Address Code Price Last Updated
Cone Health Moses Cone Hospital 1121 North Church St Entrance A, Greensboro A9539 $25 [source] 4 years ago
Moses Cone Hospital 1131D N Church St, Greensboro A9539 $50 [source] 4 years ago
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington A9539 $50 [source] 4 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro A9539 $50 [source] 4 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville A9539 $50 [source] 4 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro A9539 $50 [source] 4 years ago
Wilson Medical Center 1705 Tarboro Street Sw, Wilson A9539 $130 [source] 4 years ago
Person Memorial Hospital 615 Ridge Road, Roxboro A9539 $132 [source] 4 years ago
Mcdowell Hospital , Marion A9539 $134 [source] 4 years ago
Angel Medical Center 120 Riverview St, Franklin A9539 $134 [source] 4 years ago
Blue Ridge Regional Hospital 125 Hospital Dr, Spruce Pine A9539 $134 [source] 4 years ago
Adventhealth Hendersonville 100 Hospital Dr, Hendersonville A9539 $177 [source] 4 years ago
Atrium Health University 8800 N. Tryon St. , Charlotte A9539 $257 [source] 4 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte A9539 $258 [source] 4 years ago
Atrium Health Lincoln 433 Mcalister Road , Lincolnton A9539 $258 [source] 4 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte A9539 $270 [source] 4 years ago
Atrium Health Pineville 10628 Park Road , Charlotte A9539 $279 [source] 4 years ago
Atrium Health Cabarrus 920 Church Street North , Concord A9539 $281 [source] 4 years ago
Atrium Health Union 600 Hospital Drive , Monroe A9539 $316 [source] 4 years ago
Rutherford Regional Health System 288 S. Ridgecrest Avenue, Rutherfordton A9539 $366 [source] 4 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby A9539 $369 [source] 4 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle A9539 $391 [source] 4 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro A9539 $418 [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.