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Colorado rates for HCPCS A9537

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

Facilitymedian $117 · 10th–90th $59–$3160%10%10th90th$117Professionalmedian $55 · 10th–90th $52–$660%50%10th90th$55$10.0$20.0$50.0$100.0$200.0$500.0

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
$53.70 / $131.83 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $54.95 / $66.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $109.65 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $60.26 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $85.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $63.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $56.23 / $56.23