go back

New Jersey rates for HCPCS A9504

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

Facilitymedian $676 · 10th–90th $372–$10,4710%20%10th90th$676Professionalmedian $427 · 10th–90th $398–$5010%50%10th90th$427$50.0$200.0$1.0K$5.0K$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
$426.58 / $676.08 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $426.58 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $446.68 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38,018.94 / $38,018.94 / $38,018.94
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $6,309.57 / $13,803.84
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $501.19 / $676.08