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Technetium Tc-99m Mebrofenin, Diagnostic

Maine rates for HCPCS A9537

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

Rates data updated July 2026.

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

$56.23

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $204 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$56.23$56.23 to $56.23
FacilityA hospital or hospital-owned outpatient department$204$81.28 to $309

How much rates vary

Facilitymedian $204 · 10th to 90th $56 to $339Professionalmedian $56 · 10th to 90th $55 to $60
$50.0$100.0$200.0facility $204professional $56

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$213.80
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$56.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$67.61
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$147.91
Typical High
$323.59
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$81.28

Where Maine sits

The same service costs 4.3 times more in West Virginia than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $56.23 · 45th of 51
WV $240DC $56.23

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.