go back

Idaho rates for HCPCS A9504

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

Facilitymedian $589 · 10th–90th $490–$1,0960%20%10th90th$589Professionalmedian $427 · 10th–90th $417–$5010%50%10th90th$427$50.0$100.0$200.0$500.0$1.0K

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
$501.19 / $501.19 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $426.58 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $741.31 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $512.86 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $457.09 / $616.60
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $426.58 / $512.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $77.62
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $562.34 / $794.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19