go back

Wisconsin rates for HCPCS A9538

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

Facilitymedian $151 · 10th–90th $62–$5500%10%10th90th$151Professionalmedian $65 · 10th–90th $56–$1120%20%40%10th90th$65$1.0$5.0$20.0$100.0$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
$109.65 / $173.78 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $63.10 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $64.57 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $100.00 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $47.86 / $66.07
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $61.66 / $77.62
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $75.86 / $81.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $61.66 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $134.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $54.95 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $95.50 / $131.83
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $229.09
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $66.07 / $346.74
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $109.65 / $109.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $112.20