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New Hampshire rates for HCPCS A9562

Technetium Tc-99m mertiatide, diagnostic, per study dose, up to 15 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $794.33 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $645.65 / $794.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $891.25 / $891.25