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Alaska rates for HCPCS A9503

Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $208.93 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.13 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $154.88 / $645.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.85 / $60.26
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $34.67
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $30.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $15.14 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.50 / $36.31