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Alaska rates for HCPCS Q9969

Tc-99m from nonhighly enriched uranium source, full cost recovery add-on, per study dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.70 / $30.00 / $48.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $2.94 / $2.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $10.81 / $10.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.20 / $20.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.20 / $4.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $10.81 / $10.81