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Nationwide rates for HCPCS A9504

Technetium Tc-99m apcitide, diagnostic, per study dose, up to 20 mCi

Facilitymedian $537 · 10th–90th $398–$1,8620%50%10th90th$537Professionalmedian $427 · 10th–90th $398–$5130%50%10th90th$427$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$398.11 / $426.58 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $416.87 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $524.81 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $446.68 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $812.83 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $831.76 / $1,096.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $501.19 / $870.96

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