go back

Illinois 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
$21.38 / $117.49 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.33 / $9.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $125.89 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $93.33 / $199.53
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $97.72 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $14.13