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Technetium Tc-99m Mebrofenin, Diagnostic

Montana rates for HCPCS A9537

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

Rates data updated October 2026.

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

$79.43

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $89.13 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$64.57$56.23 to $83.18
FacilityA hospital or hospital-owned outpatient department$89.13$64.57 to $100

How much rates vary

Facilitymedian $89 · 10th to 90th $51 to $182Professionalmedian $65 · 10th to 90th $55 to $91
$100$200$500facility $89professional $65

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$181.97
Typical High
$575.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$60.26
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$162.18
Typical High
$181.97
Cigna
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$100.00
Typical High
$380.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$89.13
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$87.10
Typical High
$95.50
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$56.23
Typical High
$93.33
Providence
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$100.00
Typical High
$380.19
Providence
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$79.43
Typical High
$91.20
United
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$56.23

Where Montana sits

The same service costs 1.7 times more in Nebraska than in Maryland. 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.

Montana· 4th of 51

$79.43

NE $93.33MD $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.