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Minnesota 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
$2.94 / $12.45 / $25.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $2.94 / $2.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.48 / $37.26 / $629.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.36 / $121.70 / $121.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.13 / $34.64 / $42.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $12.76 / $13.81
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.36 / $31.61 / $39.67
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.88 / $10.88 / $13.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $2.64 / $12.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.13