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New Jersey rates for HCPCS A9538

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

Facilitymedian $78 · 10th–90th $34–$2190%10%20%10th90th$78Professionalmedian $65 · 10th–90th $16–$740%50%10th90th$65$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$33.88 / $72.44 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $64.57 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $77.62 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $10,471.29 / $15,488.17
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $64.57 / $67.61