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Idaho 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
$14.82 / $147.25 / $222.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.94 / $13.26 / $14.82
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $14.28 / $69.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.34 / $28.90 / $30.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $17.78 / $18.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $20.80