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
Texas
Hospital Address Code Price Last Updated
Ascension Providence 6901 Medical Pkwy, Woodway A9539 $66 [source] 4 years ago
Texas Children's Hospital 6621 Fannin St Houston, Houston A9539 $102 [source] 4 years ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo A9539 $119 [source] 4 years ago
St. David's Healthcare , Round Rock A9539 $120 [source] 4 years ago
Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd., Eagle Pass A9539 $212 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas A9539 $216 [source] 4 years ago
Parkview Regional Hospital 600 South Bonham Street, Mexia A9539 $218 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson A9539 $267 [source] 4 years ago
Medical City Weatherford 713 E Anderson St, Weatherford A9539 $294 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo A9539 $333 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg A9539 $414 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen A9539 $414 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen A9539 $414 [source] 4 years ago
Medical City Denton 3535 S Interstate 35, Corinth A9539 $510 [source] 4 years ago
Valley Regional Medical Center 100-A Alton Gloor Blvd, Brownsville A9539 $517 [source] 4 years ago
Rio Grande Regional Hospital 101 East Ridge Road, Mcallen A9539 $540 [source] 4 years ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving A9539 $551 [source] 4 years ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston A9539 $625 [source] 4 years ago
Ennis Regional Medical Center 2201 West Lampasas, Waxahachie A9539 $761 [source] 4 years ago
Medical City Arlington 3301 Matlock Rd, Arlington A9539 $798 [source] 4 years ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills A9539 $816 [source] 4 years ago
Woman's Hospital Of Texas 7600 Fannin, Houston A9539 $873 [source] 4 years ago
Texoma Medical Center 5016 South Us Highway 75, Denison A9539 $1,004 [source] 4 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth A9539 $1,213 [source] 4 years ago
Corpus Christi Medical Center 7101 South Padre Island Dr, Corpus Christi A9539 $1,297 [source] 4 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas A9539 $1,306 [source] 4 years ago
Medical City Alliance 3101 N Tarrant Pkwy, Fort Worth A9539 $1,306 [source] 4 years ago
Medical City Lewisville 500 W Main St, Lewisville A9539 $1,381 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco A9539 $2,484 [source] 4 years ago
Palestine Regional Medical Center 2900 South Loop 256, Palestine A9539 $3,574 [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 §180.