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Missouri rates for HCPCS A9538

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

Facilitymedian $81 · 10th–90th $40–$1700%10%20%10th90th$81Professionalmedian $63 · 10th–90th $58–$950%20%10th90th$63$20.0$50.0$100.0$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
$39.81 / $81.28 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $63.10 / $107.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $169.82 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $107.15 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $89.13 / $288.40
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $64.57 / $93.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $67.61 / $72.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $64.57 / $75.86