go back

New Hampshire rates for HCPCS 70543

Mri Orbit Face & Neck W/O & W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$127.50 / $194.47 / $393.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $475.00 / $1,320.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.59 / $140.00 / $389.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.41 / $335.00 / $931.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.45 / $273.45 / $273.45
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.92 / $126.44 / $324.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.49 / $712.52 / $1,021.68
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.33 / $210.09 / $297.10
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$235.16 / $502.43 / $720.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.44 / $821.90 / $1,813.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.61 / $206.61 / $300.89
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$328.54 / $585.04 / $1,500.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.78 / $678.50 / $1,257.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.57 / $200.06 / $370.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.20 / $478.44 / $886.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.40 / $681.06 / $1,358.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.49 / $142.16 / $290.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$297.77 / $400.67 / $1,030.01
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.81 / $608.01 / $893.61
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.55 / $97.75 / $132.22
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$386.86 / $467.60 / $738.03