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New Hampshire rates for HCPCS 72120

Radex Spine Lumbosacral Only Bending 2/3 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.47 / $24.77 / $40.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.54 / $52.17 / $143.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.68 / $10.75 / $29.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.86 / $40.96 / $112.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.03 / $32.03 / $32.38
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.26 / $8.64 / $13.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.46 / $57.94 / $83.08
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.35 / $15.20 / $21.49
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.11 / $42.74 / $60.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.62 / $84.40 / $124.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.23 / $21.70 / $32.36
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.07 / $62.22 / $92.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.18 / $80.29 / $148.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.85 / $19.48 / $36.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.33 / $57.65 / $109.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.79 / $54.64 / $91.53
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.55 / $15.18 / $33.02
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.33 / $38.60 / $75.98
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.54 / $38.69 / $58.04
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.63 / $10.25 / $13.99
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.85 / $27.42 / $43.28