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New Hampshire rates for HCPCS A9594

Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.84 / $776.84 / $932.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.84 / $776.84 / $776.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.66 / $1,142.42 / $1,688.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $776.84 / $776.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.84 / $776.84 / $776.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.84 / $776.84 / $776.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.84 / $1,127.51 / $2,397.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $761.61 / $776.84
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00