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New Hampshire rates for HCPCS 71555

Mra Chest W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$127.01 / $335.67 / $335.67
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
$111.15 / $127.50 / $335.67
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.41 / $335.00 / $931.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.67 / $700.08 / $1,003.84
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.51 / $174.16 / $246.29
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$246.16 / $525.92 / $754.13
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.84 / $63.84 / $63.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.99 / $785.75 / $1,437.79
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.29 / $173.36 / $250.89
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$343.37 / $600.08 / $1,094.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.11 / $666.65 / $1,235.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.32 / $165.85 / $307.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.80 / $500.82 / $928.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.22 / $546.17 / $1,091.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.38 / $120.37 / $241.52
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$347.79 / $411.65 / $849.73
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.10 / $484.20 / $700.97
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.77 / $82.58 / $110.71
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$299.16 / $361.60 / $570.72