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Idaho 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
$16.98 / $95.50 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $14.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $38.90 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $93.33 / $199.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $26.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.88 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.79 / $18.62
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $18.20