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New Hampshire rates for HCPCS A9547

Indium In-111 Oxyquinoline Diagnostic Per 0.5 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,147.08 / $2,147.08 / $2,576.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.08 / $2,147.08 / $2,515.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.35 / $2,946.97 / $3,894.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,147.08 / $2,147.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,147.08 / $2,147.08 / $2,147.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.08 / $2,147.08 / $2,147.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.08 / $3,256.26 / $6,626.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,641.50 / $2,104.98 / $2,104.98
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,823.89 / $2,006.28 / $2,553.44