Technetium-99m radioactive tracer dose add-on

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Non-Heu Tc-99m Add-on per Dose

Payers reporting HCPCS Q9969

Payer pricing summary

Low

Average

$49

Median

$18

High

$1.0k

Payer rate distribution

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#
1	Medicare other · both · +8 other terms	7	$10	$10	—	—	4,369	$10 – $10
2	Medicaid facility · other · outpatient · +2 other terms	1	$3	$3	—	—	1–10	$3 – $3
3	UnitedHealthcare fee schedule · outpatient · +20 other terms	348	$10	$14	$9	70%	—	$1 – $94
4	Aetna fee schedule · outpatient · +19 other terms	179	$10	$48	$94	197%	—	$1 – $312
5	Blue Cross Blue Shield facility · fee schedule · outpatient · +20 other terms	136	$14	$19	$12	62%	—	$2 – $82
6	Humana fee schedule · outpatient · +17 other terms	132	$10	$22	$58	259%	—	$3 – $304
7	Anthem fee schedule · outpatient · +19 other terms	74	$10	$6	$7	114%	—	$1 – $30
8	WellCare fee schedule · outpatient · +11 other terms	74	$10	$18	$19	104%	—	$9 – $94
9	Cigna facility · fee schedule · outpatient · +14 other terms	61	$11	$13	$5	41%	—	$10 – $35
10	Molina fee schedule · outpatient · +13 other terms	49	$10	$11	$3	27%	—	$8 – $25
11	Devoted fee schedule · outpatient · +7 other terms	33	$10	$10	$0	4%	—	$10 – $11
12	MultiPlan fee schedule · outpatient · +10 other terms	29	$17	$65	$116	177%	—	$9 – $351
13	Ambetter facility · fee schedule · outpatient · +10 other terms	23	$24	$21	$6	27%	—	$0 – $26
14	Bcbs Tx fee schedule · outpatient · +2 other terms	23	$10	$10	$0	3%	—	$9 – $10
15	Optum facility · fee schedule · outpatient · +8 other terms	23	$10	$10	$0	4%	—	$8 – $11
16	Caresource facility · case rate · outpatient · +9 other terms	21	$23	$28	$16	56%	—	$10 – $64
17	Kaiser fee schedule · outpatient · +12 other terms	20	$10	$25	$20	81%	—	$10 – $79
18	Clover fee schedule · outpatient · +4 other terms	19	$11	$11	$0	4%	—	$10 – $12
19	Highmark fee schedule · outpatient · +7 other terms	17	$16	$18	$11	61%	—	$5 – $62
20	Medica fee schedule · outpatient · +8 other terms	16	$10	$7	$3	46%	—	$5 – $19
21	Aetna Better Health fee schedule · outpatient · +9 other terms	14	$4	$6	$3	56%	—	$3 – $11
22	Amerihealth Caritas facility · fee schedule · outpatient · +7 other terms	14	$11	$11	$0	1%	—	$10 – $11
23	Cigna Healthspring fee schedule · outpatient · +1 other terms	14	$11	$10	$0	2%	—	$10 – $11
24	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$292	$206	$210	102%	—	$5 – $483
25	Wellmark fee schedule · both · +11 other terms	13	$10	$10	—	—	—	$10 – $10

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