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New Hampshire rates for HCPCS Q9969

Tc-99m From Non-Highly Enriched Uranium Source Full Cost Recovery Add-On Per Study Dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.20 / $1.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.37 / $31.56 / $45.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.08 / $4.80 / $4.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $10.81 / $10.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $10.19
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $3,000.00 / $4,410.00