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Technetium Tc-99m Pentetate, Diagnostic, Aerosol

Maine rates for HCPCS A9567

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

Rates data updated July 2026.

How much does Technetium Tc-99m Pentetate, Diagnostic, Aerosol cost?

$20.89

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $110 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$20.89$15.85 to $26.30
FacilityA hospital or hospital-owned outpatient department$110$51.29 to $110

How much rates vary

Facilitymedian $110 · 10th to 90th $20 to $200Professionalmedian $21 · 10th to 90th $3 to $30
$10.0$100.0$1.0K$10.0K$100.0Kfacility $110professional $21

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$15.85
Typical High
$15.85
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$19.95
Typical High
$95,499.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$30.90
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$9.33
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$26.30
Typical High
$44.67

Where Maine sits

The same service costs 51.3 times more in West Virginia than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $20.89 · 18th of 51
WV $174RI $3.39

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.