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
Nevada
Hospital Address Code Price Last Updated
Valley Hospital Medical Center 620 Shadow Lane, Las Vegas A9539 $63 [source] 4 years ago
Northeastern Nevada Regional Hospital 2001 Errecart Boulevard, A9539 $100 [source] 4 years ago
Desert Springs Hospital 2075 E Flamingo Rd, Las Vegas A9539 $154 [source] 4 years ago
Summerlin Hospital Medical Center 657 Town Center Dr, Las Vegas A9539 $168 [source] 4 years ago
Carson Valley Medical Center 1107 Hwy 395, Gardnerville A9539 $204 [source] 4 years ago
Desert View Regional Medical Center 360 S Lola Ln, Pahrump A9539 $303 [source] 4 years ago
Henderson Hospital 1050 West Galleria Drive, Henderson A9539 $321 [source] 4 years ago
Spring Valley Medical Center 5400 S Rainbow Blvd, Las Vegas A9539 $321 [source] 4 years ago
Centennial Hills Hospital Medical Center 6900 N Durango Drive, Las Vegas A9539 $321 [source] 4 years ago
Northern Nevada Medical Center 2375 E Prater Way, Sparks A9539 $596 [source] 4 years ago
Renown Regional Medical Center 1155 Mill Street, Reno A9539 $630 [source] 4 years ago
Renown South Meadows Medical Center 10101 Double R Blvd, Reno A9539 $630 [source] 4 years ago
Sunrise Hospital & Medical Center 3186 S Maryland Pkwy, Las Vegas A9539 $945 [source] 4 years ago
Mountainview Hospital 3100 N Tenaya Way, Las Vegas A9539 $12,280 [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.