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New Hampshire rates for HCPCS 0722T

Quantitative computed tomography (CT) tissue characterization, including interpretation and report, obtained with concurrent CT examination of any structure contained in the concurrently acquired diagnostic imaging dataset (List separately in addition to code for primary procedure)

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.98 / $319.98 / $370.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,915.04 / $3,915.04 / $6,966.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.76 / $2,230.04 / $3,129.88
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,750.00 / $2,920.00 / $3,000.00