go back

West 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
$15.40 / $103.40 / $185.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.94 / $13.26 / $14.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.13 / $76.55 / $88.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.55 / $124.77 / $124.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $13.26 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $38.59
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.57 / $80.20 / $87.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $18.82