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New Hampshire rates for HCPCS A9593

Gallium Ga-68 PSMA-11, diagnostic, (UCSF), 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.42 / $793.42 / $952.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.42 / $793.42 / $793.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.95 / $1,400.15 / $2,426.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.86 / $793.41 / $793.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.42 / $793.42 / $793.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.42 / $793.42 / $793.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.42 / $1,151.57 / $2,448.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.86 / $777.86 / $793.42
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00