Technetium-99m pentetate diagnostic imaging agent

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

TECHNETIUM TC 99M PENTETATE FOR BRAIN DEATH IDENTIFICATION

Payers reporting HCPCS A9539

Payer pricing summary

Low

Average

$1.3k

Median

$325

High

$27.8k

Payer rate distribution

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Filter by billing class

#
1	Anthem fee schedule · outpatient · +20 other terms	84	$31	$72	$190	264%	1–10	$0 – $1.8k
2	UnitedHealthcare fee schedule · outpatient · +30 other terms	458	$47	$82	$165	201%	—	$1 – $2.3k
3	Cigna fee schedule · outpatient · +21 other terms	244	$60	$296	$821	278%	—	$16 – $4.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	216	$76	$250	$781	312%	—	$0 – $9.2k
5	Aetna fee schedule · outpatient · +27 other terms	127	$100	$167	$229	137%	—	$0 – $1.2k
6	Humana fee schedule · outpatient · +20 other terms	101	$192	$234	$188	80%	—	$1 – $792
7	MultiPlan fee schedule · outpatient · +14 other terms	75	$310	$537	$1.0k	187%	—	$46 – $8.6k
8	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +3 other terms	49	$228	$305	$378	124%	—	$20 – $2.7k
9	Kaiser fee schedule · both · +15 other terms	45	$39	$40	$11	28%	—	$13 – $61
10	First Health fee schedule · inpatient · +14 other terms	29	$372	$648	$1.3k	193%	—	$69 – $7.1k
11	Medica fee schedule · outpatient · +15 other terms	29	$80	$129	$125	96%	—	$28 – $485
12	Molina fee schedule · outpatient · +18 other terms	26	$21	$85	$142	167%	—	$1 – $679
13	Bcbs Tx fee schedule · outpatient · +4 other terms	25	$127	$120	$43	36%	—	$50 – $213
14	Medicaid fee schedule · outpatient · +8 other terms	22	$218	$398	$858	215%	—	$1 – $4.2k
15	Phcs fee schedule · outpatient · +12 other terms	20	$495	$515	$125	24%	—	$267 – $734
16	Tricare facility · fee schedule · outpatient · +10 other terms	16	$191	$1.4k	$5.0k	369%	—	$53 – $23.1k
17	Amerihealth Caritas other · outpatient · +6 other terms	15	$507	$435	$265	61%	—	$4 – $631
18	Caresource facility · case rate · outpatient · +13 other terms	15	$120	$125	$24	19%	—	$80 – $203
19	Premera facility · fee schedule · both · +7 other terms	14	$74	$59	$42	71%	—	$0 – $125
20	Regence facility · fee schedule · both · +13 other terms	14	$75	$60	$43	71%	—	$0 – $135
21	Carefirst facility · fee schedule · both · +7 other terms	13	$71	$58	$42	72%	—	$0 – $125
22	Excellus facility · fee schedule · both · +8 other terms	13	$71	$58	$42	72%	—	$0 – $125
23	Highmark facility · fee schedule · both · +11 other terms	13	$71	$67	$38	56%	—	$0 – $125
24	Wellmark facility · fee schedule · both · +13 other terms	13	$71	$58	$42	72%	—	$0 – $125
25	Bcbs Mn fee schedule · outpatient · +11 other terms	12	$64	$50	$33	66%	—	$0 – $80

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