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Vermont 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
$46.56 / $46.56 / $46.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $14.24 / $22.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.44 / $127.38 / $179.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $30.04