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New Hampshire rates for HCPCS A9539

Technetium Tc-99m Pentetate Diagnostic Per Studydose Up To 25 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.96 / $31.96 / $38.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $31.96 / $31.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.76 / $28.76 / $28.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.96 / $31.96 / $31.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $31.96 / $31.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $48.47 / $98.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $37.60 / $37.60
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $43.98 / $3,000.00