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Technetium Tc-99m Disofenin, Diagnostic

New Hampshire rates for HCPCS A9510

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

Rates data updated October 2026.

How much does Technetium Tc-99m Disofenin, Diagnostic cost?

$70.79

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $42.66 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$70.79$63.10 to $79.43
FacilityA hospital or hospital-owned outpatient department$42.66$0.04 to $67.61

How much rates vary

Facilitymedian $43 · 10th to 90th $0 to $151Professionalmedian $71 · 10th to 90th $63 to $126
$0.1$1$10$100facility $43professional $71

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$0.04
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$141.25
Typical High
$199.53
Cigna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$79.43
Typical High
$190.55
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$79.43
Typical High
$190.55
Well Sense
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$42.66
Typical High
$57.54

Where New Hampshire sits

The same service costs 2.5 times more in Kansas than in Indiana. 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 Hampshire· 37th of 51

$70.79

KS $141IN $57.54

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.