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New Hampshire rates for HCPCS A9592

Copper Cu-64 Dotatate Diagnostic 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.75 / $981.75 / $4,543.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $981.75 / $981.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.13 / $1,732.50 / $2,699.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $981.75 / $981.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.75 / $981.75 / $981.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $981.75 / $981.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $1,424.91 / $3,030.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $981.75
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.80 / $1,285.20 / $3,000.00