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New Hampshire rates for HCPCS 78660

Radiopharmaceutical Dacryocystography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.02 / $590.66 / $590.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.38 / $179.87 / $179.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.22 / $683.93 / $759.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.45 / $187.11 / $271.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.14 / $1,370.64 / $2,418.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.27 / $335.80 / $556.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.38 / $259.29 / $935.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.28 / $236.72 / $447.23
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.22 / $166.34 / $211.71