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New Hampshire rates for HCPCS A9586

Florbetapir F18 Diagnostic Per Study Dose Up Tomillicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,914.55 / $2,914.55 / $3,497.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,914.55 / $2,914.55 / $3,497.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,105.61 / $5,143.32 / $9,955.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.25 / $2,857.40 / $2,914.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,914.55 / $2,914.55 / $2,914.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,914.55 / $2,914.55 / $2,914.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,914.55 / $4,230.18 / $8,995.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,857.40 / $2,857.40 / $6,857.76
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $3,206.01 / $4,080.37