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Technetium Tc-99m Pentetate, Diagnostic, Aerosol

Washington rates for HCPCS A9567

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

Rates data updated July 2026.

Facilitymedian $42 · 10th–90th $18$2750%20%10th90th$42Professionalmedian $18 · 10th–90th $12$500%20%10th90th$18$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
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$42.66
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$17.78
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$34.67
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$47.86
Typical High
$58.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$47.86
Typical High
$58.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$41.69
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$26.30
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$30.20