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New Hampshire rates for HCPCS 70355

Orthopantogram (eg, panoramic x-ray)

Facilitymedian $36 · 10th–90th $15$360%50%10th$36Professionalmedian $17 · 10th–90th $8$390%5%10th90th$17$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $20.89 / $47.86
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $9.77 / $30.20
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$6.03 / $8.91 / $20.89
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $29.51 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $15.49 / $21.88
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$9.33 / $14.13 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $37.15 / $57.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $15.85 / $28.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$9.77 / $17.38 / $35.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $25.70 / $51.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $18.20 / $28.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$10.96 / $18.62 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $33.11 / $60.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $15.49 / $30.90
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$10.72 / $15.85 / $27.54
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.24 / $7.24 / $9.55