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Wisconsin rates for HCPCS A9540

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

Facilitymedian $417 · 10th–90th $33$1,8620%10%20%10th90th$417Professionalmedian $30 · 10th–90th $28$1000%50%10th90th$30$1.0$5.0$20.0$100.0$500.0$2.0K

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
$33.11 / $436.52 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.84 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $93.33 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $45.71 / $69.18
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $30.90 / $36.31
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $141.25 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $33.88 / $794.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $63.10
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $54.95 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $72.44 / $107.15
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $107.15
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.02 / $162.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $39.81