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New Hampshire rates for HCPCS A9698

Nonradioactive contrast imaging material, not otherwise classified, per study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.69 / $21.47 / $82.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.35 / $28.35 / $28.35
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $3,000.00 / $4,024.75