go back

New Hampshire rates for HCPCS A9550

Technetium Tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.21 / $19.21 / $23.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $19.21 / $19.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $50.40 / $50.40
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00