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New Hampshire rates for HCPCS 72081

Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.49 / $13.49 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $43.65 / $109.65
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $19.05 / $38.02
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $28.84 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $41.69 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $67.61 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.59 / $19.05 / $27.54
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.62 / $47.86 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $72.44 / $128.82
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.79 / $24.55 / $36.31
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.15 / $50.12 / $93.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $85.11 / $125.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.79 / $22.91 / $33.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.31 / $57.54 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $58.88 / $112.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.80 / $17.78 / $33.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.18 / $40.74 / $75.86
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.76 / $9.33 / $9.33