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Pennsylvania rates for HCPCS A9540

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

Facilitymedian $339 · 10th–90th $37–$5130%10%20%10th90th$339Professionalmedian $30 · 10th–90th $28–$360%50%10th90th$30$1.0$10.0$100.0$1.0K$10.0K

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
$38.90 / $380.19 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $30.20 / $36.31
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $30.20 / $1,698.24
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $4.57 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $107.15 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $131.83 / $323.59
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $794.33 / $1,698.24
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.90 / $91.20
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $30.20 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $575.44 / $691.83
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $38.02 / $51.29
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $38.02 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $36.31