go back

Massachusetts 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
$0.56 / $1.17 / $58.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.94
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.98 / $11.87 / $25.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $10.81 / $16.16
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.90 / $53.00 / $8,090.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.19 / $10.19 / $11.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.13