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New Hampshire rates for HCPCS A9587

Gallium Ga-68 Dotatate Diagnostic 0.1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.67 / $56.67 / $68.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $58.93 / $58.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.87 / $104.00 / $231.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.78 / $58.93 / $58.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.93 / $58.93 / $58.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.93 / $58.93 / $58.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.93 / $85.53 / $181.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.78 / $57.78 / $138.66
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.34 / $79.34 / $3,000.00