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New Hampshire rates for HCPCS 0690T

Quantitative ultrasound tissue characterization (non-elastographic), including interpretation and report, obtained with diagnostic ultrasound examination of the same anatomy (eg, organ, gland, tissue, target structure) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.81 / $75.73 / $75.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.54 / $102.54 / $125.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.47 / $123.63 / $220.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.20 / $90.08 / $173.15
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00