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New Hampshire rates for HCPCS A9524

Iodine I-131 iodinated serum albumin, diagnostic, per 5 mcCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.75 / $80.75 / $96.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.23 / $381.23 / $381.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.25 / $585.00 / $1,605.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.22 / $381.22 / $390.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.23 / $381.23 / $381.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.23 / $381.23 / $381.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.23 / $578.16 / $1,176.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.23 / $390.00 / $936.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.75 / $88.83 / $113.05