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New Hampshire rates for HCPCS A9503

Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $97.72 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.88 / $13.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.33 / $9.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $26.92 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $13.18 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $13.18