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New Hampshire rates for HCPCS A9526

Nitrogen N-13 Ammonia Diagnostic Per Study Dose Up To 40 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.18 / $672.18 / $806.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.40 / $739.40 / $739.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.62 / $1,087.34 / $2,983.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.00 / $739.39 / $739.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.40 / $739.40 / $739.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.40 / $739.40 / $739.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.40 / $1,121.36 / $2,282.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.20 / $85.80 / $143.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.20 / $856.80 / $3,000.00