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Technetium Tc-99m Disofenin, Diagnostic

Missouri rates for HCPCS A9510

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

Rates data updated July 2026.

Facilitymedian $68 · 10th–90th $0$1290%20%40%10th90th$68Professionalmedian $68 · 10th–90th $63$830%50%10th90th$68$0.0$0.1$0.5$2.0$10.0$50.0$200.0

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
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$128.82
Typical High
$128.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$117.49
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$100.00
Typical High
$331.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$79.43
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$102.33
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$79.43
Typical High
$91.20