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New Hampshire rates for HCPCS 70542

Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$295.12 / $295.12 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $426.58 / $676.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $616.60 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $676.08 / $1,348.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $489.78 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $537.03 / $954.99
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.98 / $57.54 / $57.54