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New Hampshire rates for HCPCS 70491

Ct Soft Tissue Neck W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.53 / $96.51 / $253.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.98 / $293.00 / $872.97
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.34 / $62.53 / $175.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.63 / $230.46 / $697.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.44 / $439.84 / $439.84
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.15 / $80.77 / $207.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.14 / $387.02 / $561.16
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.75 / $134.07 / $189.60
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$118.39 / $252.94 / $362.69
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.55 / $81.55 / $81.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.06 / $431.78 / $741.65
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.76 / $132.77 / $193.97
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.02 / $287.17 / $524.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.24 / $341.85 / $683.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.84 / $118.18 / $236.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$135.53 / $240.86 / $446.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.53 / $295.33 / $648.41
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.76 / $91.96 / $186.03
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$168.74 / $202.46 / $460.53
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.50 / $222.22 / $314.81
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.77 / $63.25 / $85.57
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.35 / $134.35 / $233.82