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New Hampshire rates for HCPCS A9800

Gallium Ga-68 gozetotide, diagnostic, (Locametz), 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.48 / $840.48 / $1,008.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.98 / $624.36 / $840.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.95 / $1,192.71 / $1,728.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.11 / $624.35 / $624.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.36 / $624.36 / $624.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.36 / $624.36 / $624.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.36 / $624.36 / $906.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.11 / $612.11 / $624.36