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Virginia 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
$1.30 / $4.34 / $37.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $2.94 / $4.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $21.10 / $34.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $7.45
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $10.81 / $10.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $22.00 / $22.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.12 / $4.34 / $6.61