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New Hampshire rates for HCPCS A9556

Gallium Ga-67 citrate, diagnostic, per mCi

Facilitymedian $138 · 10th–90th $0–$1660%20%10th90th$138Professionalmedian $138 · 10th–90th $93–$2290%50%10th90th$138$0.0$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $138.04 / $138.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $295.12 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $263.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $154.88 / $154.88
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $40.74 / $54.95