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North Carolina 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
$20.89 / $69.18 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $15.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $44.67 / $47.86
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 / $13.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $13.80 / $24.55
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $97.72 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $16.98
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00