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Nationwide rates for HCPCS A9538

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

Facilitymedian $93 · 10th–90th $60–$2750%20%10th90th$93Professionalmedian $63 · 10th–90th $32–$780%50%10th90th$63$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$58.88 / $100.00 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $63.10 / $75.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $81.28 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $64.57 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $104.71 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $66.07 / $66.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $67.61 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $64.57 / $75.86

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