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Nebraska rates for HCPCS Q9969

Tc-99m from nonhighly enriched uranium source, full cost recovery add-on, per study dose

Facilitymedian $4 · 10th–90th $1$100%10%10th90th$4Professionalmedian $2 · 10th–90th $1$80%50%10th90th$2$0.5$1.0$2.0$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.32 / $3.72 / $5.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $6.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $13.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.50 / $3.16 / $10.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $7.24 / $15.85