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Illinois rates for HCPCS A9567

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

Facilitymedian $25 · 10th–90th $13–$9550%20%40%10th90th$25Professionalmedian $17 · 10th–90th $3–$710%10%10th90th$17$5.0$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
$12.88 / $13.49 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $15.14 / $20.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $549.54 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $36.31 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $147.91 / $194.98
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $39.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $33.88 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.89 / $23.99