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New Hampshire rates for HCPCS 70496

Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing

Facilitymedian $126 · 10th–90th $79$3240%20%10th90th$126Professionalmedian $224 · 10th–90th $79$6030%5%10%10th90th$224$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$79.43 / $125.89 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $371.54 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $87.10 / $218.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $234.42 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $630.96 / $933.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $186.21 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $457.09 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $645.65 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $138.04 / $245.47
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $467.74 / $1,047.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $501.19 / $758.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $144.54 / $213.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $346.74 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $512.86 / $977.24
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $131.83 / $251.19
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $346.74 / $645.65
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$61.66 / $67.61 / $81.28