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Ohio 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
$2.49 / $6.48 / $22.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $2.49 / $8.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $15.97 / $25.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.79 / $1.65
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $3.17 / $3.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $10.81 / $10.81
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $3.58 / $10.13
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $10.81 / $10.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00