Technetium-99m medronate bone scan agent

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TECHNETIUM TC-99M MEDRONATE, DIAGNOSTIC, PER STUDY DOSE, UP TO 30 MILLICURIES

Payers reporting HCPCS A9503

Payer pricing summary

Low

$12

Average

$219

Median

$161

High

$1.6k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +31 other terms	265	$46	$92	$179	195%	218–344	$0 – $2.3k
2	Bcbs Al facility · other · outpatient · +1 other terms	5	$672	$849	$758	89%	53	$1 – $2.1k
3	Bcbs Wy other · both · +3 other terms	1	$190	$190	—	—	47	$190 – $190
4	Kaiser fee schedule · both · +16 other terms	50	$90	$90	$44	49%	38–56	$19 – $420
5	Anthem fee schedule · outpatient · +25 other terms	113	$24	$59	$149	250%	29–155	$12 – $1.8k
6	UnitedHealthcare fee schedule · outpatient · +31 other terms	474	$106	$141	$306	216%	15–150	$1 – $5.4k
7	Medica fee schedule · outpatient · +17 other terms	35	$50	$58	$54	94%	2–20	$12 – $354
8	Molina fee schedule · outpatient · +24 other terms	32	$27	$78	$121	156%	2–20	$1 – $746
9	Bcbs Ar percent of total billed charges · bothfrom % of charges	1	$12	$12	—	—	2–20	$12 – $12
10	Bcbs Sc percent of total billed charges · bothfrom % of charges	1	$48	$48	—	—	2–20	$48 – $48
11	WellCare fee schedule · both · +15 other terms	15	$92	$68	$42	62%	1–10	$0 – $112
12	Cigna fee schedule · outpatient · +21 other terms	259	$25	$137	$592	432%	—	$12 – $4.5k
13	Aetna fee schedule · outpatient · +29 other terms	134	$42	$81	$118	147%	—	$1 – $661
14	Humana fee schedule · outpatient · +22 other terms	98	$104	$92	$88	96%	—	$1 – $618
15	MultiPlan fee schedule · outpatient · +15 other terms	78	$168	$203	$187	92%	—	$32 – $870
16	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +3 other terms	57	$156	$202	$145	72%	—	$4 – $686
17	First Health fee schedule · inpatient · +15 other terms	31	$137	$233	$196	84%	—	$51 – $746
18	Highmark facility · fee schedule · outpatient · +15 other terms	25	$138	$223	$175	78%	—	$13 – $701
19	Medicaid fee schedule · outpatient · +9 other terms	22	$289	$473	$708	150%	—	$1 – $3.2k
20	Caresource fee schedule · outpatient · +13 other terms	20	$83	$78	$47	60%	—	$1 – $177
21	Phcs fee schedule · outpatient · +12 other terms	20	$151	$211	$173	82%	—	$64 – $600
22	Tricare facility · fee schedule · outpatient · +11 other terms	20	$156	$216	$178	82%	—	$40 – $752
23	Ambetter other · outpatient · +15 other terms	14	$742	$794	$238	30%	—	$401 – $1.1k
24	Amerihealth Caritas other · outpatient · +8 other terms	14	$54	$285	$213	75%	—	$8 – $471
25	Bcbs Az facility · fee schedule · outpatient · +1 other terms	14	$77	$78	$17	22%	—	$29 – $103

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