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New Hampshire rates for HCPCS Q9954

Oral magnetic resonance contrast agent, per 100 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $10.68 / $12.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $10.68 / $11.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $10.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $11.66 / $22.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $12.57 / $12.57
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $13.35 / $18.84