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New Hampshire rates for HCPCS 70542

Mri Orbit Face & Neck W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.96 / $296.57 / $296.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $475.00 / $1,320.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.98 / $561.86 / $814.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.09 / $633.99 / $1,282.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.05 / $535.03 / $991.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.28 / $472.05 / $945.67
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.34 / $474.47 / $603.88