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New Hampshire rates for HCPCS A9602

Fluorodopa F-18, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.84 / $508.84 / $610.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.90 / $508.84 / $508.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.42 / $2,298.19 / $3,964.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.87 / $508.84 / $508.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.84 / $508.84 / $508.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.84 / $508.84 / $508.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.84 / $508.84 / $738.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.87 / $498.87 / $508.84