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Missouri rates for HCPCS A9510

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

Facilitymedian $72 · 10th–90th $0$1290%20%10th90th$72Professionalmedian $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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $83.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $128.82 / $128.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $117.49 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $100.00 / $331.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $79.43 / $123.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $97.72 / $97.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $79.43 / $83.18