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New Hampshire rates for HCPCS A9541

Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $275.42 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $269.15 / $275.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $562.34 / $977.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $275.42 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $416.87