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Montana 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
$11.84 / $11.84 / $52.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $2.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $10.81 / $10.81