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Wisconsin rates for HCPCS A9503

Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 mCi

Facilitymedian $115 · 10th–90th $71$1910%20%10th90th$115Professionalmedian $13 · 10th–90th $12$1740%20%10th90th$13$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.88
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$13.18
Typical High
$51.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$295.12
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$134.90
Typical High
$186.21
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$15.49
Typical High
$112.20
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$316.23
Typical High
$338.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$128.82
Typical High
$645.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$89.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$54.95
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Network Health
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Quartz
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$151.36
Typical High
$223.87
Quartz
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$100.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$16.60
Typical High
$100.00
Security Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Security Health
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$47.86
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$17.78