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Florida rates for HCPCS A9521

Technetium Tc-99m exametazime, diagnostic, per study dose, up to 25 mCi

Facilitymedian $1,698 · 10th–90th $1,072–$4,8980%50%10th90th$1,698Professionalmedian $1,698 · 10th–90th $1,660–$1,7380%50%10th90th$1,698$50.0$200.0$1.0K$5.0K

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
$1,659.59 / $1,698.24 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,698.24 / $1,737.80
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $933.25 / $1,071.52
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $1,698.24 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,630.27 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $1,737.80
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $169.82 / $1,698.24
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,698.24 / $1,698.24
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $3,090.30 / $3,388.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $1,318.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,698.24 / $1,778.28
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,778.28 / $1,778.28