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Utah 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
$91.20 / $158.49 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $27.54 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $19.50
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $14.79 / $19.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88