A9504 (HCPCS) by state — Price Transparency

HCPCS · across United States

A9504 — Technetium Tc-99m Apcitide Diagnostic Per Study Dose Up To 20 Millicuries

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$867 National median

$509 – $2,061 IQR (p25 – p75)

1,023 hospitals filing

52 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $1,765.

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for A9504 (HCPCS), with interquartile range
State	Median	p25	p75
CO	$47	$42	$69
UT	$50	$42	$50
ND	$170	$86	$404
KS	$226	$67	$470
NM	$282	$56	$352
WY	$405	$405	$405
SC	$410	$258	$561
AR	$450	$400	$892
NV	$460	$100	$721
WI	$464	$400	$617
PA	$468	$374	$1,400
TN	$471	$471	$471
NE	$495	$462	$571
PR	$500	$500	$500
VT	$506	$478	$506
SD	$528	$528	$528
WA	$531	$475	$583
NJ	$535	$535	$624
AZ	$563	$489	$752
HI	$585	$585	$786
NH	$591	$500	$885
MS	$614	$614	$614
ID	$647	$647	$1,501
CA	$664	$387	$1,244
RI	$677	$551	$803
NC	$696	$696	$810
MT	$757	$643	$774
NY	$759	$605	$1,056
MA	$768	$543	$922
LA	$795	$528	$832
AL	$816	$699	$1,165
TX	$823	$647	$1,844
ME	$839	$636	$1,042
KY	$865	$519	$1,383
OK	$959	$840	$1,090
GA	$1,025	$784	$1,440
MO	$1,060	$837	$1,272
IL	$1,123	$803	$2,083
MN	$1,139	$665	$1,238
FL	$1,276	$754	$3,062
IA	$1,287	$950	$1,622
WV	$1,375	$1,088	$1,375
VA	$1,393	$608	$3,583
OR	$1,527	$1,435	$40,140
DC	$2,782	$1,004	$3,852
AK	$3,503	$3,088	$3,918
IN	$3,796	$1,277	$6,358
OH	$5,728	$695	$12,497
CT	$18,197	$11,507	$33,022
DE	$25,422	$17,943	$25,422
MD	$26,846	$25,029	$32,921
MI	$26,938	$871	$33,851

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

CO	$47	$42	$69	$7	$4,724	37	51	744
UT	$50	$42	$50	$29	$1,998	7	21	197
ND	$170	$86	$404	$1	$840	3	4	7
KS	$226	$67	$470	$24	$3,225	17	42	278
NM	$282	$56	$352	$49	$1,082	3	34	114
WY	$405	$405	$405	$405	$405	1 ⚠ thin data	2	2
SC	$410	$258	$561	$29	$3,256	20	29	116
AR	$450	$400	$892	$201	$5,402	10	23	70
NV	$460	$100	$721	$25	$14,605	17	60	313
WI	$464	$400	$617	$9	$1,386	29	14	80
PA	$468	$374	$1,400	$6	$61,191	35	48	492
TN	$471	$471	$471	$310	$1,393	30	20	491
NE	$495	$462	$571	$378	$784	2 ⚠ thin data	4	8
PR	$500	$500	$500	$500	$595	1 ⚠ thin data	5	5
VT	$506	$478	$506	$361	$698	1 ⚠ thin data	9	15
SD	$528	$528	$528	$528	$528	1 ⚠ thin data	1	1
WA	$531	$475	$583	$425	$1,935	15	24	81
NJ	$535	$535	$624	$2	$3,050	24	16	101
AZ	$563	$489	$752	$183	$5,296	18	49	220
HI	$585	$585	$786	$585	$986	1 ⚠ thin data	1	3
NH	$591	$500	$885	$312	$2,013	10	18	158
MS	$614	$614	$614	$415	$3,314	4	32	111
ID	$647	$647	$1,501	$462	$1,765	4	109	151
CA	$664	$387	$1,244	$48	$64,224	121	208	1,412
RI	$677	$551	$803	$425	$929	2 ⚠ thin data	1	2
NC	$696	$696	$810	$9	$1,998	21	42	965
MT	$757	$643	$774	$500	$913	4	23	51
NY	$759	$605	$1,056	$9	$44,600	49	160	1,344
MA	$768	$543	$922	$43	$3,653	18	138	263
LA	$795	$528	$832	$111	$1,445	9	40	173
AL	$816	$699	$1,165	$196	$1,313	5	30	61
TX	$823	$647	$1,844	$1	$15,971	98	170	3,036
ME	$839	$636	$1,042	$434	$1,245	2 ⚠ thin data	2	2
KY	$865	$519	$1,383	$90	$2,827	20	29	100
OK	$959	$840	$1,090	$821	$6,102	15	7	34
GA	$1,025	$784	$1,440	$15	$53,074	40	57	749
MO	$1,060	$837	$1,272	$214	$1,908	13	60	207
IL	$1,123	$803	$2,083	$103	$5,402	44	91	560
MN	$1,139	$665	$1,238	$1	$1,473	12	7	61
FL	$1,276	$754	$3,062	$11	$71,360	73	92	1,253
IA	$1,287	$950	$1,622	$355	$5,672	21	60	639
WV	$1,375	$1,088	$1,375	$95	$1,685	4	8	24
VA	$1,393	$608	$3,583	$348	$4,643	12	27	117
OR	$1,527	$1,435	$40,140	$350	$71,360	10	202	463
DC	$2,782	$1,004	$3,852	$411	$6,730	1 ⚠ thin data	4	6
AK	$3,503	$3,088	$3,918	$2,673	$4,334	1 ⚠ thin data	1	2
IN	$3,796	$1,277	$6,358	$94	$44,600	23	94	473
OH	$5,728	$695	$12,497	<$1	$26,760	44	179	1,203
CT	$18,197	$11,507	$33,022	$62	$275,971	11	33	293
DE	$25,422	$17,943	$25,422	$223	$26,225	1 ⚠ thin data	10	11
MD	$26,846	$25,029	$32,921	$700	$34,617	4	25	127
MI	$26,938	$871	$33,851	$1	$41,478	55	361	2,608