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Wisconsin rates for HCPCS A9567

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

Facilitymedian $178 · 10th–90th $20$2340%20%40%10th90th$178Professionalmedian $20 · 10th–90th $12$660%10%10th90th$20$0.5$2.0$10.0$50.0$200.0$1.0K

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
$151.36 / $181.97 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $15.14 / $19.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $39.81 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $85.11 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $38.90 / $44.67
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $16.98 / $25.12
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $85.11 / $91.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $20.89 / $1,348.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $42.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $54.95 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $50.12 / $69.18
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $138.04
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $32.36 / $138.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $47.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $27.54