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Technetium Tc-99m Apcitide, Diagnostic

New Jersey 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?

$427

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $631 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 4 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$427$417 to $447
FacilityA hospital or hospital-owned outpatient department$631$427 to $1,413

How much rates vary

Facilitymedian $631 · 10th to 90th $372 to $10,471Professionalmedian $427 · 10th to 90th $398 to $447
$50$200$1K$5K$20Kfacility $631professional $427

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
$676.08
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$416.87
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$446.68
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$6,309.57
Typical High
$13,803.84
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$501.19
Typical High
$31,622.78

Where New Jersey 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.

New Jersey· 23rd of 51

$427

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.