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New Hampshire rates for HCPCS 78660

Radiopharmaceutical dacryocystography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $144.54 / $218.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $741.31 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $190.55 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,380.38 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $338.84 / $562.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $257.04 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $234.42 / $512.86