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New Hampshire rates for HCPCS 70355

Orthopantogram (eg, panoramic x-ray)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.31 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $20.89 / $74.13
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $10.72 / $32.36
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$6.03 / $8.91 / $23.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.59 / $12.59 / $12.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $29.51 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $15.49 / $21.88
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$9.33 / $14.13 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $38.90 / $58.88
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.30 / $19.95 / $29.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$11.22 / $19.50 / $35.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $25.70 / $51.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.48 / $18.20 / $28.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.96 / $18.62 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $30.90 / $54.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $14.13 / $28.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$9.55 / $14.13 / $25.12
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.17 / $7.24 / $7.24