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Massachusetts 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
$13.26 / $82.15 / $287.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $13.26 / $14.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.31 / $294.30 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $24.51 / $138.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.58 / $35.26 / $64.94
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.31 / $147.43 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.07 / $130.63 / $189.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $21.39
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $101.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $19.50