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Arizona rates for HCPCS Q9969

Tc-99m From Non-Highly Enriched Uranium Source Full Cost Recovery Add-On Per Study Dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $4.55 / $15.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $2.49 / $2.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.50 / $23.50 / $33.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.44 / $20.65 / $32.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $10.00 / $48.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $10.81 / $10.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $2.74 / $5.40