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Virginia 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
$13.18 / $81.28 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $20.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $79.43 / $79.43
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $14.79 / $91.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $15.49 / $22.91
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $14.79 / $19.05
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $14.79 / $19.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.49 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $15.49