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Idaho rates for HCPCS A9567

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

Facilitymedian $46 · 10th–90th $19–$3890%20%10th90th$46Professionalmedian $19 · 10th–90th $14–$290%10%20%10th90th$19$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $354.81 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.05 / $28.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $213.80 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $20.42 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $29.51 / $354.81
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.50 / $28.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89