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South Carolina 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
$38.15 / $67.17 / $727.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.79 / $12.94 / $17.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $9.36 / $58.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.01 / $36.04 / $241.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.60 / $18.72 / $59.96
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.79 / $17.16 / $29.00
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 / $13.00