HCPCS A9504

Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries

Current codeMyocardial Perfusion Scan8 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS A9504 by hospital
Hospital	Commercial insurance rates (lowest – highest)	Cash price	List price (before discounts)
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	$1,527 – $1,9352 plans	—	—
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	$765 – $8143 plans	—	—
PeaceHealth Peace Island Medical CenterFriday Harbor	—	$4,742	$7,295
PeaceHealth Southwest Medical CenteVancouver	—	$4,742	$7,295
PeaceHealth St John Medical CenterLongview	—	$4,742	$7,295
PeaceHealth St Joseph Medical CenterBellingham	—	$4,742	$7,295
PeaceHealth United General Medical CenterSedro Woolley	—	$4,742	$7,295
Providence Centralia HospitalCentraliaFile dated 2026-04-01	$1,527 – $1,9352 plans	—	—

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.