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Georgia 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
$12.95 / $92.50 / $535.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.79 / $12.95 / $43.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $9.36 / $9.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.00 / $14.11 / $14.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $14.04 / $14.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $13.65 / $26.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.77 / $124.77 / $124.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $26.52 / $109.84
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,025.39 / $3,719.58 / $4,000.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.93 / $62.90 / $68.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.19 / $115.42 / $115.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $15.60