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Missouri rates for HCPCS A9539

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

Facilitymedian $76 · 10th–90th $30–$3800%20%10th90th$76Professionalmedian $30 · 10th–90th $28–$380%50%10th90th$30$1.0$5.0$20.0$100.0

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 / $30.20 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $37.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.84 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $52.48 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $44.67 / $138.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $38.02 / $58.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $38.02 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $38.02 / $38.02