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New Hampshire rates for HCPCS 49465

Contrast Injection Perq Radiologic Eval Gi Tube

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $239.18 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.55 / $134.47 / $188.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.50 / $28.29 / $67.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,426.62 / $2,500.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.54 / $74.41 / $258.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.99 / $124.60 / $404.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.20 / $140.12 / $454.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,360.00 / $3,360.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.63 / $257.16 / $456.19
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.46 / $124.04 / $201.33