go back

New Hampshire rates for HCPCS A9512

Technetium Tc-99m pertechnetate, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.72 / $1.72 / $2.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.54 / $6.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.72 / $1.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.62 / $5.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.73
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $1.96 / $3.09