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Maryland rates for HCPCS Q9969

Tc-99m from nonhighly enriched uranium source, full cost recovery add-on, per study dose

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.94 / $2.94
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $10.81 / $10.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $22.00 / $22.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00