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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
$2.51 / $9.55 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $2.00 / $2.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $34.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $3.55 / $37.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $2.00 / $2.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62