go back

Missouri 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
$2.93 / $11.36 / $41.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $2.94 / $2.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.70 / $46.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $4.00 / $4.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $10.81 / $10.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.94 / $4.38 / $21.71