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Georgia 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
$12.88 / $97.72 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $46.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $30.90 / $141.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $14.13 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $14.13 / $14.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.80 / $13.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $26.30 / $109.65
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $114.82 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $16.60