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New Hampshire rates for HCPCS G0296

Counseling Visit To Discuss Need For Lung Cancer Screening (Ldct) Using Low Dose Ct Scan (Reinstated 01/01/16) Pet Imaging Full And Partial Ring Pet Scanner Only For Restaging Of Previously Treated Thyroid Cancer Of Follicular Cell Origin Following Negative I -131 Whole Body Scan (Deleted 4/1/2005)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.38 / $27.06 / $278.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $25.81 / $33.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.12 / $35.17 / $64.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.26 / $29.79 / $52.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.70 / $24.70 / $24.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $48.11 / $91.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.43 / $43.98 / $86.17
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.36 / $26.49 / $43.20