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New Hampshire rates for HCPCS 70450

Ct Head/Brain W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.40 / $59.81 / $157.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.81 / $186.09 / $554.72
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.57 / $38.40 / $107.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.24 / $147.68 / $447.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.06 / $86.04 / $255.11
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.75 / $42.02 / $128.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.13 / $224.61 / $322.06
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.82 / $82.93 / $117.27
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.31 / $141.68 / $203.15
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.79 / $50.79 / $50.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.81 / $247.90 / $473.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.51 / $81.30 / $119.01
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.08 / $159.00 / $364.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.35 / $213.89 / $396.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.44 / $78.98 / $146.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.91 / $134.91 / $250.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.77 / $186.64 / $356.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.71 / $56.77 / $254.76
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.03 / $111.20 / $210.30
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.84 / $126.37 / $190.60
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.52 / $38.99 / $52.74
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.08 / $70.90 / $152.05