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Missouri rates for HCPCS A9500

Technetium Tc-99m sestamibi, diagnostic, per study dose

Facilitymedian $288 · 10th–90th $102$9120%10%10th90th$288Professionalmedian $110 · 10th–90th $87$4470%20%10th90th$110$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $288.40 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $107.15 / $398.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $204.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $95.50 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $186.21 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $186.21 / $537.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $446.68 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $707.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $446.68 / $457.09