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Technetium Tc-99m Disofenin, Diagnostic

Montana rates for HCPCS A9510

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

Rates data updated July 2026.

Facilitymedian $120 · 10th–90th $2$1620%50%10th90th$120Professionalmedian $79 · 10th–90th $2$1230%20%10th90th$79$5.0$10.0$20.0$50.0$100.0$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
Professional
Modifier
Global
Typical Low
$67.61
Median
$69.18
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$162.18
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$104.71
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$120.23
Typical High
$123.03
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$120.23
Typical High
$123.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$117.49
Typical High
$416.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43