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New Hampshire rates for HCPCS 01922

Anes Non-Invasive Imaging/Radiation Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $721.12 / $721.12
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$304.50 / $680.00 / $690.00
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$126.07 / $400.42 / $575.00
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$140.08 / $400.42 / $575.00
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$274.05 / $304.50 / $1,380.00