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Virginia rates for HCPCS A9567

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

Facilitymedian $204 · 10th–90th $18–$5620%20%10th90th$204Professionalmedian $18 · 10th–90th $3–$250%20%10th90th$18$0.2$2.0$20.0$200.0$2.0K$20.0K

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 / $213.80 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $15.14 / $18.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $35.48 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $29.51 / $30.90
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $19.05 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $33.88 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.89 / $24.55