Technetium-99m tetrofosmin imaging agent at Mayo Clinic Arizona

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.

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Generated: October 20, 2026

Original text from hospital filings

KIT FOR THE PREPARATION OF TC-99M-TETROFOSMIN 1.38 MG IV SOLUTION

Phoenix, AZ

See all hospitals reporting HCPCS A9502 →

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How this price compares nationally

Mayo Clinic Arizona’s median price of $335 is 58% above the median hospital's median price ($211), higher than 73% of the 1,702 hospitals reporting HCPCS A9502. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9502 at Mayo Clinic Arizona

Negotiated rates from the hospital’s own file: 17 payers, 85 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.

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1	Medica az uhc optum [72] facility · percent of total billed charges · bothfrom % of charges	$252	$252	—	—	—	$252 – $252
2	Optum az uhc optum [72] facility · percent of total billed charges · bothfrom % of charges	$252	$252	—	—	—	$252 – $252
3	UnitedHealthcare az uhc gap exception [1376] facility · percent of total billed charges · bothfrom % of charges	$252	$252	—	—	—	$252 – $252
4	UnitedHealthcare az uhc optum [72] facility · percent of total billed charges · bothfrom % of charges	$252	$252	—	—	2–20	$252 – $252
5	Cigna az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$257	$257	—	—	1–10	$257 – $257
6	Cigna az cigna gap exception [1383] facility · percent of total billed charges · bothfrom % of charges	$257	$257	—	—	—	$257 – $257
7	Healthpartners az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$257	$257	—	—	1–10	$257 – $257
8	Humana az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$257	$257	—	—	—	$257 – $257
9	Medcost az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$257	$257	—	—	—	$257 – $257
10	Medical Mutual az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$257	$257	—	—	—	$257 – $257
11	Oscar az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$257	$257	—	—	—	$257 – $257
12	Medica az uhc optum [36] professional · percent of total billed charges · outpatientfrom % of charges	$262	$262	—	—	—	$262 – $262
13	Optum az uhc optum [36] professional · percent of total billed charges · outpatientfrom % of charges	$262	$262	—	—	—	$262 – $262
14	UnitedHealthcare az uhc gap exception [1386] professional · percent of total billed charges · outpatientfrom % of charges	$262	$262	—	—	—	$262 – $262
15	UnitedHealthcare az uhc optum [36] professional · percent of total billed charges · outpatientfrom % of charges	$262	$262	—	—	—	$262 – $262
16	Cigna az cigna [52] professional · percent of total billed charges · outpatientfrom % of charges	$267	$267	—	—	—	$267 – $267
17	Cigna az cigna gap expection [1389] professional · percent of total billed charges · outpatientfrom % of charges	$267	$267	—	—	—	$267 – $267
18	Healthpartners az cigna [52] professional · percent of total billed charges · outpatientfrom % of charges	$267	$267	—	—	—	$267 – $267
19	Humana az cigna [52] professional · percent of total billed charges · outpatientfrom % of charges	$267	$267	—	—	—	$267 – $267
20	Medcost az cigna [52] professional · percent of total billed charges · outpatientfrom % of charges	$267	$267	—	—	—	$267 – $267
21	Medical Mutual az cigna [52] professional · percent of total billed charges · outpatientfrom % of charges	$267	$267	—	—	—	$267 – $267
22	Oscar az cigna [52] professional · percent of total billed charges · outpatientfrom % of charges	$267	$267	—	—	—	$267 – $267
23	Aetna az aetna [26] facility · percent of total billed charges · bothfrom % of charges	$279	$279	—	—	1–10	$279 – $279
24	Anthem az bcbs [124] facility · percent of total billed charges · bothfrom % of charges	$279	$279	—	—	—	$279 – $279
25	Blue Cross Blue Shield az bcbs [124] facility · percent of total billed charges · bothfrom % of charges	$279	$279	—	—	1–10	$279 – $279

Page 1 of 4 · 85 rates

Last updated: Aug 14, 2026

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