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Pennsylvania rates for HCPCS A9567

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

Facilitymedian $148 · 10th–90th $18–$4170%10%10th90th$148Professionalmedian $14 · 10th–90th $3–$250%20%10th90th$14$1.0$10.0$100.0$1.0K$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
$18.20 / $158.49 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $14.13 / $26.92
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $10.72 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $63.10 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38,018.94 / $38,018.94 / $38,018.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $79.43 / $128.82
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $14.45
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $14.13 / $21.88
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $288.40 / $346.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.89 / $28.84