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New Hampshire rates for HCPCS A9588

Fluciclovine F-18, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.98 / $526.98 / $632.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.98 / $526.98 / $526.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.84 / $805.26 / $1,217.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.65 / $526.98 / $526.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.98 / $526.98 / $526.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.98 / $526.98 / $526.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.98 / $764.86 / $1,626.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.65 / $516.65 / $526.98
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.55 / $685.44 / $3,000.00