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Minnesota rates for HCPCS A9538

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

Facilitymedian $95 · 10th–90th $60–$2510%10%20%10th90th$95Professionalmedian $17 · 10th–90th $15–$650%20%40%10th90th$17$0.1$0.5$2.0$10.0$50.0$200.0

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
$75.86 / $186.21 / $549.54
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
$16.98 / $72.44 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $17.38 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $104.71 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $39.81 / $43.65
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $102.33 / $199.53
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $43.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $77.62 / $208.93
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $114.82