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New Hampshire rates for HCPCS A9560

Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.27 / $95.27 / $114.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.27 / $95.27 / $111.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.55 / $150.00 / $411.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.26 / $95.26 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.27 / $95.27 / $95.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.27 / $95.27 / $95.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.27 / $144.49 / $294.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.27 / $100.00 / $100.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.80 / $131.09 / $3,000.00