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
KIT FOR THE PREPARATION OF TC-99M-TETROFOSMIN 1.38 MG IV SOLUTION
St, NE
See all hospitals reporting HCPCS A9502 →Price type
Mayo Clinic Health System’s median price of $353 is 67% above the median hospital's median price ($211), higher than 76% of the 1,702 hospitals reporting HCPCS A9502. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 15 payers, 34 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 | Healthpartners medicaid cah healthpartners [1174] facility · percent of total billed charges · bothfrom % of charges | $77 | $77 | — | — | — | $77 – $77 |
| 2 | Ucare ucare connect medicaid cah [1181] facility · percent of total billed charges · bothfrom % of charges | $77 | $77 | — | — | — | $77 – $77 |
| 3 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan cah [1013] facility · percent of total billed charges · bothfrom % of charges | $156 | $156 | — | — | — | $156 – $156 |
| 4 | Medica medica advantage solution medicare advantage plan cah [800] facility · percent of total billed charges · bothfrom % of charges | $160 | $160 | — | — | — | $160 – $160 |
| 5 | Medica medica medicare advantage plan msho msc+ cah [172] facility · percent of total billed charges · bothfrom % of charges | $164 | $164 | — | — | — | $164 – $164 |
| 6 | Ucare ucare medicare advantage plan msho cah [399] facility · percent of total billed charges · bothfrom % of charges | $164 | $164 | — | — | — | $164 – $164 |
| 7 | UnitedHealthcare united healthcare medicare advantage plan cah [1255] facility · percent of total billed charges · bothfrom % of charges | $164 | $164 | — | — | — | $164 – $164 |
| 8 | Ucare ucare essentia care medicare advantage plan cah [782] facility · percent of total billed charges · bothfrom % of charges | $171 | $171 | — | — | — | $171 – $171 |
| 9 | Medica medica medicaid [1245] facility · percent of total billed charges · bothfrom % of charges | $187 | $187 | — | — | — | $187 – $187 |
| 10 | Ucare ucare ifp [1110] facility · percent of total billed charges · bothfrom % of charges | $279 | $279 | — | — | — | $279 – $279 |
| 11 | Blue Cross Blue Shield winona health [1288] facility · percent of total billed charges · bothfrom % of charges | $316 | $316 | — | — | — | $316 – $316 |
| 12 | Blue Cross Blue Shield blue cross blue shield fep [871] facility · percent of total billed charges · bothfrom % of charges | $318 | $318 | — | — | — | $318 – $318 |
| 13 | Anthem blue cross blue shield & blue plus [245] facility · percent of total billed charges · bothfrom % of charges | $324 | $324 | — | — | — | $324 – $324 |
| 14 | Blue Cross Blue Shield blue cross blue shield & blue plus [245] facility · percent of total billed charges · bothfrom % of charges | $324 | $324 | — | — | — | $324 – $324 |
| 15 | Medica deanhp by medica west mc hmo 88 pct [1265] facility · percent of total billed charges · bothfrom % of charges | $327 | $327 | — | — | — | $327 – $327 |
| 16 | Medica medica completehealth and engage [98] facility · percent of total billed charges · bothfrom % of charges | $327 | $327 | — | — | — | $327 – $327 |
| 17 | Medica medica non mayo employees group [759] facility · percent of total billed charges · bothfrom % of charges | $342 | $342 | — | — | — | $342 – $342 |
| 18 | UnitedHealthcare multi uhc [269] facility · percent of total billed charges · bothfrom % of charges | $342 | $342 | — | — | — | $342 – $342 |
| 19 | Healthpartners healthpartners [290] facility · percent of total billed charges · bothfrom % of charges | $346 | $346 | — | — | — | $346 – $346 |
| 20 | Medica united behavioral health [391] facility · percent of total billed charges · bothfrom % of charges | $346 | $346 | — | — | — | $346 – $346 |
| 21 | Optum united behavioral health [391] facility · percent of total billed charges · bothfrom % of charges | $346 | $346 | — | — | — | $346 – $346 |
| 22 | Medica & swwi medica choice [86] facility · percent of total billed charges · bothfrom % of charges | $350 | $350 | — | — | — | $350 – $350 |
| 23 | Aetna multi aetna [135] facility · percent of total billed charges · bothfrom % of charges | $353 | $353 | — | — | — | $353 – $353 |
| 24 | Blue Cross Blue Shield blue cross blue shield tiered network [886] facility · percent of total billed charges · bothfrom % of charges | $353 | $353 | — | — | — | $353 – $353 |
| 25 | Cigna cigna [644] facility · percent of total billed charges · bothfrom % of charges | $353 | $353 | — | — | — | $353 – $353 |
Last updated: Mar 31, 2026
See Technetium-99m tetrofosmin imaging agent pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.