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.
Original text from hospital filings
NM DOSE TECH 99M HEPATOLITE/DISOFENIN 15 MCI
Rapids, MN
See all hospitals reporting HCPCS A9510 →Price type
Allina Health Systems’s median price of $108 is 8% below the median hospital's median price ($118), higher than 46% of the 1,239 hospitals reporting HCPCS A9510. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 2 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 3 | Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges | $63 | $63 | — | — | — | $63 – $63 |
| 4 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 5 | UnitedHealthcare united healthcare (um) facility · percent of total billed charges · outpatientfrom % of charges | $71 | $71 | — | — | — | $71 – $71 |
| 6 | Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 7 | Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges | $100 | $100 | — | — | — | $100 – $100 |
| 8 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $106 | $106 | — | — | — | $106 – $106 |
| 9 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 10 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 11 | Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges | $114 | $114 | — | — | — | $114 – $114 |
| 12 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $116 | $116 | — | — | — | $116 – $116 |
| 13 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 14 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 15 | Medica medica ubh (m) facility · percent of total billed charges · outpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 16 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 17 | Bcbs Mn bc premier (m u) facility · other · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 18 | Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 19 | Bcbs Mn bc high value/performance network (mu) facility · other · outpatient | $179 | $179 | — | — | — | $179 – $179 |
Last updated: Jun 17, 2026
See Technetium-99m disofenin diagnostic imaging agent pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.