Technetium-99m sestamibi imaging dose

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Radiophar Tc99M Sestamibi Dose

Payers reporting HCPCS A9500

Payer pricing summary

Low

$41

Average

$976

Median

$360

High

$17.6k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +31 other terms	250	$292	$334	$323	97%	421–511	$0 – $5.3k
2	Bcbs Al facility · other · outpatient · +1 other terms	5	$2.6k	$1.6k	$1.3k	86%	64–82	$243 – $3.6k
3	Anthem fee schedule · outpatient · +26 other terms	64	$177	$189	$230	122%	56–209	$59 – $1.8k
4	UnitedHealthcare fee schedule · outpatient · +32 other terms	473	$743	$777	$450	58%	48–174	$0 – $4.8k
5	Medica fee schedule · outpatient · +19 other terms	41	$551	$721	$377	52%	31–184	$0 – $1.2k
6	Cigna fee schedule · outpatient · +21 other terms	260	$172	$273	$216	79%	12–120	$55 – $1.4k
7	Molina fee schedule · outpatient · +27 other terms	35	$136	$231	$356	154%	3–30	$1 – $2.1k
8	Kaiser fee schedule · both · +19 other terms	49	$207	$193	$57	30%	2–20	$97 – $420
9	Aetna fee schedule · outpatient · +30 other terms	130	$298	$347	$295	85%	—	$1 – $1.5k
10	Humana fee schedule · outpatient · +24 other terms	98	$306	$526	$437	83%	—	$0 – $1.2k
11	MultiPlan fee schedule · outpatient · +15 other terms	84	$413	$447	$326	73%	—	$50 – $1.7k
12	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +3 other terms	59	$586	$566	$424	75%	—	$0 – $2.6k
13	First Health fee schedule · inpatient · +17 other terms	31	$371	$501	$367	73%	—	$61 – $1.5k
14	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$98	$80	$21	27%	—	$23 – $106
15	Tricare facility · fee schedule · outpatient · +14 other terms	22	$445	$501	$373	75%	—	$106 – $1.5k
16	Caresource fee schedule · outpatient · +15 other terms	21	$102	$122	$120	98%	—	$1 – $708
17	Medicaid fee schedule · outpatient · +13 other terms	21	$628	$837	$834	100%	—	$1 – $3.2k
18	Phcs fee schedule · outpatient · +12 other terms	21	$342	$415	$322	78%	—	$122 – $1.1k
19	Highmark facility · fee schedule · outpatient · +17 other terms	19	$655	$716	$431	60%	—	$122 – $1.9k
20	WellCare professional · fee schedule · outpatient · +18 other terms	19	$130	$129	$7	6%	—	$107 – $140
21	Amerihealth Caritas other · outpatient · +12 other terms	16	$152	$633	$554	87%	—	$15 – $1.5k
22	Ambetter other · outpatient · +14 other terms	14	$1.0k	$1.1k	$230	20%	—	$769 – $1.5k
23	Bcbs Az facility · fee schedule · outpatient · +1 other terms	14	$566	$571	$128	22%	—	$212 – $751
24	Bcbs Tx fee schedule · outpatient · +4 other terms	13	$659	$519	$167	32%	—	$51 – $779
25	Carefirst facility · fee schedule · both · +11 other terms	13	$208	$187	$51	27%	—	$109 – $279

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