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New Hampshire rates for HCPCS Q9969

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

Facilitymedian $1 · 10th–90th $1$10%20%10th90th$1Professionalmedian $1 · 10th–90th $1$20%50%90th$1$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
$1.00 / $1.20 / $1.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00