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Maine 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
$31.62 / $128.82 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $13.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $13.18 / $13.18
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 / $23.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $15.85
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $120.23 / $338.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $15.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.88 / $19.05