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Massachusetts rates for HCPCS A9539

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

Facilitymedian $74 · 10th–90th $31–$3980%10%10th90th$74Professionalmedian $32 · 10th–90th $30–$470%20%40%10th90th$32$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$30.90 / $45.71 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.90 / $37.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $44.67 / $50.12
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $38.02 / $66.07
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $87.10 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $67.61 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $20.42 / $5,888.44
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $19.50 / $28.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $51.29
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $44.67 / $50.12
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $38.02 / $66.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $45.71 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $38.02 / $46.77