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Oklahoma 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
$12.64 / $54.23 / $190.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $12.64 / $12.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
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
$12.64 / $15.60 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $15.94
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 / $13.78