go back

New Jersey 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
$1.00 / $1.00 / $19.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.94
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.18 / $722.15 / $1,031.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $10.81 / $10.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $44,999.55
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.96 / $21.67 / $42.43
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.50 / $0.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.13