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Missouri 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 / $42.36 / $134.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $12.48 / $43.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.17 / $22.10 / $34.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.70 / $12.48 / $15.60
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.48 / $18.41 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.77 / $13.00 / $16.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.66 / $97.66 / $97.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $15.29