go back

Texas 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
$25.12 / $60.26 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.59 / $40.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $9.33 / $109.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $33.11 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $117.49 / $977.24
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $43.65 / $302.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $45.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $28.84 / $30.20
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,090.30 / $3,235.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $15.49 / $41.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50