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New Hampshire rates for HCPCS A4641

Radiopharmaceutical, diagnostic, not otherwise classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.90 / $7.31 / $33.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $79.34 / $79.34
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,920.00 / $4,735.00