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
Ohio
Hospital Address Code Price Last Updated
Euclid Hospital 18901 Lakeshore Blvd., Cleveland A9539 $156 [source] 4 years ago
Lutheran Hospital 1730 West 25Th Street, Cleveland A9539 $156 [source] 4 years ago
Fairview Hospital 18101 Lorain Ave., Cleveland A9539 $156 [source] 4 years ago
South Pointe Hospital 20000 Harvard Rd., Cleveland A9539 $156 [source] 4 years ago
Hillcrest Hospital 6780 Mayfield Rd., Cleveland A9539 $156 [source] 4 years ago
Marymount Hospital 12300 Mccracken Road, Cleveland A9539 $156 [source] 4 years ago
Cleveland Clinic Main Campus 9500 Euclid Ave, Cleveland A9539 $179 [source] 4 years ago
Medina Hospital 1000 E. Washington St., Medina A9539 $179 [source] 4 years ago
Akron General 1 Akron General Ave., Akron A9539 $588 [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.