go back

Louisiana 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
$15.49 / $93.33 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $17.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.33 / $58.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $63.10 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $15.49