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Georgia 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
$2.94 / $6.83 / $19.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $2.94 / $2.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.00 / $48.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $17.59 / $36.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $7.00 / $7.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $10.81 / $10.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $33.00 / $51.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.68 / $12.15 / $13.24