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Arizona rates for HCPCS A9567

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

Facilitymedian $66 · 10th–90th $13$1700%10%10th90th$66Professionalmedian $16 · 10th–90th $3$520%10%10th90th$16$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$12.02 / $12.02 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $15.14 / $52.48
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $89.13 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $29.51 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $19.95 / $112.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $138.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.89 / $22.39