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Maine rates for HCPCS A9501

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

Professionalmedian $110 · 10th–90th $78–$1320%20%40%10th90th$110$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $50.12 / $95,499.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $131.83
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $120.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $109.65 / $38,018.94