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Illinois rates for HCPCS Q9969

Tc-99m From Non-Highly Enriched Uranium Source Full Cost Recovery Add-On Per Study Dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.16 / $9.98 / $36.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.94 / $2.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.70 / $14.00 / $17.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $10.81 / $10.81
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.80 / $28.15 / $120.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $2,500.00