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New Hampshire rates for HCPCS Q9982

Flutemetamol F-18, diagnostic, per study dose, up to 5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,264.00 / $3,264.00 / $3,916.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,649.60 / $3,264.00 / $3,840.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,911.86 / $5,760.00 / $8,467.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,200.00 / $3,264.00 / $3,264.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,264.00 / $3,264.00 / $3,264.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,264.00 / $3,264.00 / $3,264.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,264.00 / $3,264.00 / $8,104.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,200.00 / $3,200.00 / $3,264.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,366.00 / $3,702.60 / $4,712.39