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Massachusetts 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
$17.38 / $81.28 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $45.71
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $275.42 / $309.03
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $93.33 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $36.31 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $51.29
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $147.91 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $131.83 / $190.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $21.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $275.42 / $309.03
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $93.33 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $97.72 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $13.18 / $18.20