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New Hampshire rates for HCPCS A9540

Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $32.36 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $30.20 / $30.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $63.10 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.90 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.90