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Alaska rates for HCPCS A9540

Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 mCi

Facilitymedian $79 · 10th–90th $50–$5130%10%10th90th$79Professionalmedian $30 · 10th–90th $28–$480%50%10th90th$30$50.0$100.0$200.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $173.78 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $30.20 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $109.65 / $512.86
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $30.20 / $60.26
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $79.43
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $69.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $30.90 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $44.67 / $83.18