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Technetium Tc-99m Pentetate, Diagnostic, Aerosol

Texas rates for HCPCS A9567

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

Rates data updated July 2026.

Facilitymedian $63 · 10th–90th $17$1510%10%20%10th90th$63Professionalmedian $17 · 10th–90th $14$810%50%10th90th$17$0.5$5.0$50.0$500.0$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$63.10
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$16.60
Typical High
$18.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$141.25
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$43.65
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$177.83
Typical High
$177.83
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$23.99
Typical High
$38.02
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$44.67
Providence
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$24.55
Typical High
$56.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
United
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$34.67
Typical High
$34.67
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$21.38
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$22.91
Typical High
$30.90