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New Hampshire rates for HCPCS A9579

Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (NOS), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $34.40 / $3,894.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.48 / $4.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $2.22 / $6.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.48 / $1.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.48 / $1.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.24 / $4.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $2.93
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $7.22 / $3,000.00