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Missouri rates for HCPCS A9567

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

Facilitymedian $102 · 10th–90th $12–$2400%10%10th90th$102Professionalmedian $16 · 10th–90th $9–$220%20%10th90th$16$0.5$2.0$10.0$50.0$200.0

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
$12.30 / $102.33 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $14.13 / $21.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $54.95 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $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
$11.48 / $23.99 / $112.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $20.42 / $31.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $33.88 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $20.89 / $21.38