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Technetium Tc-99m Apcitide, Diagnostic

Massachusetts 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?

$479

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $1,514 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 8 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$479$479 to $501
FacilityA hospital or hospital-owned outpatient department$1,514$794 to $1,995

How much rates vary

Facilitymedian $1,514 · 10th to 90th $501 to $2,884Professionalmedian $479 · 10th to 90th $427 to $794
$500$1K$2K$5K$10Kfacility $1,514professional $479

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
$426.58
Median
$426.58
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$575.44
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,548.82
Typical High
$1,737.80
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$1,348.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,862.09
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$933.25
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$707.95
Typical High
$5,888.44
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$676.08
Typical High
$977.24
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$758.58
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,548.82
Typical High
$1,737.80
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$501.19
Typical High
$630.96

Where Massachusetts 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.

Massachusetts· 12th of 51

$479

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.