go back

New Hampshire rates for HCPCS 70545

Mra Head W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$84.71 / $219.98 / $219.98
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
$79.06 / $127.50 / $219.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.41 / $335.00 / $931.29
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$179.66 / $179.66 / $179.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.16 / $478.93 / $694.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.34 / $116.10 / $164.18
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $362.83 / $526.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.95 / $550.13 / $1,150.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.27 / $115.53 / $169.53
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$237.21 / $422.01 / $1,009.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.42 / $509.08 / $845.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.21 / $110.56 / $204.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.41 / $345.51 / $640.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.98 / $390.32 / $884.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.69 / $79.76 / $160.50
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$248.60 / $300.39 / $901.29
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.29 / $436.59 / $600.95
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.73 / $54.81 / $74.15
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$271.23 / $325.48 / $521.33