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Maine 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
$1.00 / $2.00 / $2.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.64 / $2.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.68 / $12.15 / $31.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.80 / $99,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $10.81 / $10.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.10 / $2.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $10.00