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Nebraska rates for HCPCS A9539

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

Facilitymedian $60 · 10th–90th $30–$5750%20%10th90th$60Professionalmedian $31 · 10th–90th $30–$1230%50%10th90th$31$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $60.26 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $123.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $501.19 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $26.92 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $44.67 / $69.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $57.54 / $138.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $141.25
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $44.67 / $69.18
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $61.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $33.88 / $74.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $38.02 / $38.02