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Alaska rates for HCPCS A9503

Technetium Tc 99m Medronate Diagnostic Per Study Dose Up To 30 Millicuries Special Coverage Instructions Apply. See Mcm: 1502

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.73 / $208.20 / $649.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.94 / $14.24 / $21.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.12 / $30.12 / $30.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $21.85
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.84 / $21.84 / $34.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.84 / $30.12 / $51.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $21.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $19.50 / $26.22