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Iowa rates for HCPCS A9502

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

Facilitymedian $269 · 10th–90th $102–$5,2480%20%10th90th$269Professionalmedian $123 · 10th–90th $81–$7590%20%10th90th$123$0.1$1.0$10.0$100.0$1.0K$10.0K

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 / $102.33 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $123.03 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $158.49 / $165.96
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $257.04 / $776.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $165.96 / $371.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $257.04
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $190.55 / $371.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $263.03 / $263.03
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $7,585.78 / $10,715.19
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $309.03 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $263.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $102.33
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $97.72 / $97.72