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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
$794.33 / $794.33 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $794.33 / $794.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,621.81 / $2,818.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $794.33 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $794.33