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Arkansas rates for HCPCS A9567

Technetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 mCi

Facilitymedian $17 · 10th–90th $17$170%50%$17Professionalmedian $15 · 10th–90th $3$200%10%10th90th$15$5.0$10.0$20.0$50.0

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
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $14.13 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $24.55 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $20.89 / $23.99