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Maine 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
$28.44 / $57.62 / $294.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.94 / $12.94 / $14.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.19 / $40.19 / $40.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.26 / $13.26
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $15.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.44 / $127.70 / $335.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.94 / $13.26 / $14.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $19.50