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New Hampshire rates for HCPCS A9700

Supply Of Injectable Contrast Material For Use In Echocardiography Per Study (Special Coverage Instructions Apply. See Mcm: 15360)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.07 / $126.07 / $151.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.07 / $126.07 / $126.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.06 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.65 / $58.65 / $58.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.06 / $242.75 / $494.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.06 / $160.06 / $160.06
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.75 / $142.50 / $209.48