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Virginia 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
$13.26 / $71.54 / $177.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.95 / $13.26 / $14.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $12.48 / $16.18
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.58 / $78.58 / $78.58
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $71.97 / $84.67
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $15.60 / $23.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $30.20 / $89.62
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.35 / $14.82 / $19.11
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.35 / $14.82 / $19.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.27 / $97.66 / $97.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $15.60