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New Hampshire rates for HCPCS A9540

Technetium Tc-99m Macroaggregated Albumin Diagnostic Per Study Dose Up To 10 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.41 / $32.02 / $858.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.86 / $45.00 / $123.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.60 / $30.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $46.41 / $94.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.60
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $42.11 / $3,000.00