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Wyoming 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
$11.75 / $22.39 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $12.02