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Wisconsin rates for HCPCS A9562

Technetium Tc-99m mertiatide, diagnostic, per study dose, up to 15 mCi

Facilitymedian $646 · 10th–90th $437–$1,1220%10%10th90th$646Professionalmedian $794 · 10th–90th $468–$2,1380%10%10th90th$794$20.0$100.0$500.0$2.0K$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
$416.87 / $630.96 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $645.65 / $1,096.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,348.96 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,398.83 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,380.38 / $1,584.89
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $707.95 / $933.25
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $831.76
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $794.33 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $1,862.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $70.79 / $467.74
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $831.76 / $831.76
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,202.26
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,862.09 / $2,630.27
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $4,897.79 / $4,897.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $3,801.89 / $4,897.79
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $234.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $1,778.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $891.25 / $1,995.26