go back

Illinois rates for HCPCS A9510

Technetium Tc-99m disofenin, diagnostic, per study dose, up to 15 mCi

Facilitymedian $174 · 10th–90th $68$5890%10%10th90th$174Professionalmedian $69 · 10th–90th $68$830%50%10th90th$69$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
$56.23 / $323.59 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $281.84 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $141.25 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $128.82 / $223.87
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $97.72 / $97.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11