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Florida rates for HCPCS A9538

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

Facilitymedian $89 · 10th–90th $27–$3390%10%10th90th$89Professionalmedian $63 · 10th–90th $62–$760%50%10th90th$63$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
$26.92 / $89.13 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $63.10 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $66.07 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $97.72 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $25.70 / $25.70
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $24.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $64.57 / $66.07
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $20.42 / $20.42