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New Hampshire rates for HCPCS A9602

Fluorodopa F-18, diagnostic, per mCi

Facilitymedian $1,000 · 10th–90th $513–$3,3880%10%10th90th$1,000Professionalmedian $513 · 10th–90th $501–$6030%50%10th90th$513$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $512.86 / $616.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,819.70 / $3,715.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $512.86 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,000.00 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $831.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $831.76 / $831.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $512.86 / $512.86
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $724.44 / $870.96