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Iowa rates for HCPCS A9539

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

Facilitymedian $575 · 10th–90th $30$6170%50%10th90th$575Professionalmedian $31 · 10th–90th $30$380%50%10th90th$31$0.1$0.2$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
$30.20 / $575.44 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.90 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $38.02 / $60.26
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $114.82 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.40 / $44.67 / $69.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $69.18
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $38.02 / $60.26
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $41.69 / $41.69
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $154.88 / $181.97
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $0.04 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $41.69