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New Hampshire rates for HCPCS 72125

Ct Cervical Spine W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.49 / $75.06 / $213.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.32 / $231.03 / $689.27
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.65 / $46.49 / $130.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.67 / $184.55 / $558.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.39 / $104.39 / $104.39
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.79 / $58.30 / $149.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.09 / $273.68 / $396.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.29 / $96.75 / $136.82
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.81 / $176.92 / $253.68
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.83 / $68.83 / $68.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.76 / $310.68 / $607.34
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.02 / $95.85 / $142.75
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.69 / $204.47 / $479.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.63 / $260.61 / $483.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.84 / $92.13 / $170.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.84 / $168.48 / $312.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.68 / $236.45 / $509.07
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.89 / $66.63 / $143.57
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$133.54 / $160.22 / $359.63
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.22 / $170.93 / $250.22
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.47 / $47.72 / $66.87
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.75 / $102.90 / $197.52