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Oregon rates for HCPCS Q9969

Tc-99m From Non-Highly Enriched Uranium Source Full Cost Recovery Add-On Per Study Dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.49 / $2.49 / $9.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.90 / $2.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $10.81 / $10.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.94 / $2.94 / $6.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $13.00 / $25.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.94 / $3.09 / $6.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $10.81 / $2,250,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $15.00 / $36.52