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Maryland 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
$20.10 / $82.08 / $176.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $13.26 / $15.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.58 / $78.58 / $78.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $14.82 / $74.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $15.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.67 / $23.67 / $23.67