What do doctors typically charge for Tc-99m From Non-highly Enriched Uranium Source?

The nationwide median physician charge for Tc-99m From Non-highly Enriched Uranium Source (HCPCS Q9969) is $12.59. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for HCPCS Q9969?

The standard insurance baseline reimbursement rate is $9.84. This represents the customary allowable amount established across standard fee schedules.

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HCPCS Q9969Medical Service

Tc-99m From Non-highly Enriched Uranium Source

Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose. Clinical pricing breakdown and utilization metrics across 99 practicing doctors nationwide.

$12.59

Peer Median Charge

Gross billed rate

$9.84

Standard Baseline

Customary allowable

1.3x

National Markup

Charge vs baseline

Active Physicians

Billing this code

Planning care or already received a bill for CPT Q9969?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $12.59. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $9.84 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code Q9969 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"