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Hawaii 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
$0.81 / $0.81 / $1.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.90 / $1.90
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.09