go back

Idaho 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
$2.49 / $2.49 / $37.50
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
$2.94 / $2.94 / $4.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $3,900.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.00 / $15.00 / $25.50