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Technetium Tc-99m Mebrofenin, Diagnostic

West Virginia 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?

$56.23

Typical negotiated rate. In West Virginia, October 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 $85.11 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$56.23$56.23 to $83.18
FacilityA hospital or hospital-owned outpatient department$85.11$61.66 to $151

How much rates vary

Facilitymedian $85 · 10th to 90th $62 to $214Professionalmedian $56 · 10th to 90th $56 to $95
$20$50$100$200$500facility $85professional $56

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$199.53
Aetna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$56.23
Typical High
$61.66
Cigna
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$70.79
Typical High
$85.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$302.00
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$138.04
Typical High
$229.09
United
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$95.50

Where West Virginia 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.

West Virginia· 38th of 51

$56.23

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.