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North Dakota 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
$9.25 / $18.67 / $26.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $2.94 / $2.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $10.88 / $13.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $5.32 / $19.23