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New Hampshire rates for HCPCS 71260

Diagnostic Computed Tomography Thorax W/Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.57 / $86.50 / $227.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.39 / $294.49 / $878.92
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.17 / $56.58 / $158.43
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$135.22 / $237.90 / $720.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.16 / $134.66 / $199.63
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.69 / $61.44 / $175.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.32 / $351.08 / $509.06
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.05 / $113.34 / $160.28
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$111.27 / $237.74 / $340.89
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$73.66 / $73.66 / $73.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.14 / $392.72 / $718.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.00 / $112.35 / $174.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$155.36 / $269.54 / $593.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.11 / $330.38 / $619.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.73 / $107.93 / $200.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.38 / $226.38 / $419.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.67 / $334.42 / $530.47
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.92 / $83.93 / $167.21
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.20 / $193.32 / $459.44
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.63 / $215.52 / $306.85
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.64 / $57.11 / $77.26
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.64 / $134.71 / $244.09