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Technetium Tc-99m Teboroxime, Diagnostic

South Dakota rates for HCPCS A9501

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

Rates data updated July 2026.

How much rates vary

Facilitymedian $200 · 10th to 90th $112 to $407Professionalmedian $151 · 10th to 90th $78 to $151
$100$200facility $200professional $151

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$151.36
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$213.80
Typical High
$407.38