HCPCS A9568
Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries
Current codeMyocardial Perfusion Scan21 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,133 – $7,361 | — | — |
| Deaconess Medical Center | $1,133 – $4,891 | — | — |
| Kadlec Regional Medical Center | $1,534 – $3,076 | — | — |
| Mary Bridge Children's Hospital | $1,862 – $11,856 | — | — |
| MultiCare Auburn Medical Center | $1,133 – $2,544 | — | — |
| MultiCare Covington Medical Center | $1,133 – $2,544 | — | — |
| MultiCare Good Samaritan Hospital | $1,133 – $2,544 | — | — |
| MultiCare Valley Hospital | $1,133 – $4,891 | — | — |
| Overlake Hospital Medical Center & Clinics | $729 – $1,957 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,359 | — | — |
| Providence Centralia Hospital | $2,429 – $3,076 | — | — |
| Providence Holy Family Hospital | $1,359 | — | — |
| Providence Regional Medical Center Everett | $1,359 | — | — |
| Swedish Edmonds Hospital | $1,359 | — | — |
| Swedish Issaquah | $1,359 | — | — |
| Swedish Medical Center | $1,359 | — | — |
| Swedish Medical Center / Cherry Hill | $1,359 | — | — |
| Tacoma General Allenmore Hospital | $1,133 – $2,544 | — | — |
| University of Washington Medical Ctr | $1,036 – $1,295 | — | — |
| Virginia Mason Medical Center | $810 – $2,872 | — | — |
| Yakima Valley Memorial | $1,498 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.