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Indiana 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
$1.71 / $3.43 / $27.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.94 / $10.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $13.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $16.00 / $20.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.67 / $0.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $10.81 / $10.81