go back

New Hampshire rates for RC 0404

Other Imaging Services-Positron Emission Tomography

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,296.80 / $2,133.67 / $3,511.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,402.80 / $4,892.00 / $7,772.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,736.00 / $7,946.00 / $9,412.00