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Nebraska 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 / $26.95 / $376.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $45.60 / $250.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.00 / $57.00 / $57.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.49 / $48.45 / $48.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.45 / $88.79 / $135.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.60 / $100.00 / $392.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $28.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.61 / $38.49 / $88.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.13 / $28.85 / $88.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.74 / $62.74 / $97.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.35 / $13.00 / $15.60