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Arizona 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
$0.76 / $1.58 / $4.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $2.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $16.22 / $23.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $48.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $2.75 / $5.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $10.00 / $10.00