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Technetium Tc-99m Tetrofosmin, Diagnostic

Maine rates for HCPCS A9502

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

Rates data updated July 2026.

How much does Technetium Tc-99m Tetrofosmin, Diagnostic cost?

$87.10

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $427 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$87.10$87.10 to $87.10
FacilityA hospital or hospital-owned outpatient department$427$288 to $479

How much rates vary

Facilitymedian $427 · 10th to 90th $110 to $603Professionalmedian $87 · 10th to 90th $85 to $93
$100$200$500facility $427professional $87

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$426.58
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$87.10
Typical High
$87.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$87.10
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$93.33
Community Health Options
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$104.71
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$426.58
Typical High
$575.44
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$87.10
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$87.10
Typical High
$120.23

Where Maine sits

The same service costs 2.8 times more in Wisconsin than in Minnesota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 43rd of 51

$87.10

WI $229MN $83.18

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.