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New Hampshire rates for HCPCS A9604

Sm 153 Lexidronam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,608.50 / $16,608.50 / $19,930.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,608.54 / $16,608.54 / $16,608.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,106.03 / $18,859.18 / $29,309.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,282.88 / $16,608.54 / $16,608.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,608.54 / $16,608.54 / $16,608.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,608.54 / $16,608.54 / $16,608.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,608.54 / $24,105.64 / $51,262.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,282.88 / $16,282.88 / $16,608.54
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,738.74 / $6,886.49 / $8,608.11