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Oregon rates for HCPCS A9557

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

Facilitymedian $3,236 · 10th–90th $2,630–$4,2660%50%10th90th$3,236Professionalmedian $3,631 · 10th–90th $3,020–$4,3650%50%10th90th$3,631$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
$3,630.78 / $4,265.80 / $4,265.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,630.78 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $7,413.10 / $7,413.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $3,890.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,888.44 / $6,760.83
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,949.84 / $5,248.07
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $3,548.13 / $4,265.80
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,235.94 / $3,235.94
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $4,786.30 / $8,317.64
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $3,890.45 / $5,248.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $4,265.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,584.89 / $1,862.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,801.89 / $4,365.16