go back

Mississippi 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
$12.94 / $44.25 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.79 / $12.95 / $18.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.11 / $25.11 / $25.11
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 / $15.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.70 / $11.70 / $13.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $13.00 / $16.89