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Minnesota 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
$15.60 / $23.41 / $519.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $14.24 / $45.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.00 / $2.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.47 / $0.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.05 / $340.41 / $818.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.00 / $125.40 / $137.16
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.01 / $311.22 / $644.80
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.00 / $108.00 / $135.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.60 / $38.83 / $360.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $29.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $23.57