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North Carolina rates for HCPCS A9567

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

Facilitymedian $141 · 10th–90th $24–$2880%10%20%10th90th$141Professionalmedian $16 · 10th–90th $4–$220%20%10th90th$16$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
$51.29 / $177.83 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $15.85 / $21.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $26.92 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $20.42 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $33.88 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.89 / $32.36
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $177.83 / $177.83