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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 July 2026.

Facilitymedian $58 · 10th–90th $0$1170%20%10th90th$58Professionalmedian $71 · 10th–90th $63$1260%50%10th90th$71$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
$70.79
Median
$70.79
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$85.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$141.25
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$79.43
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$51.29
Typical High
$67.61