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New Hampshire rates for HCPCS A9512

Technetium Tc-99m pertechnetate, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $3.63 / $6.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $3.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $4.17