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New Hampshire rates for HCPCS 70551

Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$104.71 / $128.82 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $426.58 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $107.15 / $229.09
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$120.23 / $128.82 / $269.15
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $281.84 / $588.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $151.36 / $467.74
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $85.11 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.15 / $107.15 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $457.09 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $158.49 / $229.09
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.82 / $295.12 / $467.74
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $501.19 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $147.91 / $213.80
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $323.59 / $977.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $354.81 / $562.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $123.03 / $186.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $234.42 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $389.05 / $707.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $100.00 / $199.53
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $234.42 / $489.78
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.67 / $52.48 / $52.48