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Technetium Tc-99m Apcitide, Diagnostic

Kentucky rates for HCPCS A9504

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

Rates data updated July 2026.

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

$398

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $398 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 6 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$398$398 to $501
FacilityA hospital or hospital-owned outpatient department$398$398 to $708

How much rates vary

Facilitymedian $398 · 10th to 90th $398 to $2,291Professionalmedian $398 · 10th to 90th $398 to $759
$50$100$200$500$1K$2Kfacility $398professional $398

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
$398.11
Median
$398.11
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$758.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$501.19
Typical High
$501.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$707.95
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$2,511.89
Typical High
$2,511.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$537.03

Where Kentucky sits

The same service costs 1.7 times more in Wisconsin than in Missouri. 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.

Kentucky· 50th of 51

$398

WI $692MO $398

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.