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New Hampshire rates for HCPCS 72130

Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$90.23 / $233.85 / $233.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.04 / $282.30 / $356.86
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.93 / $57.51 / $64.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.33 / $56.95 / $56.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.70 / $418.12 / $606.27
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.90 / $123.71 / $174.95
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$75.81 / $75.81 / $75.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.02 / $479.76 / $871.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.42 / $121.88 / $178.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.03 / $398.15 / $737.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.28 / $114.65 / $218.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.39 / $368.67 / $741.16
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.31 / $83.98 / $170.02
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.67 / $203.14 / $258.54
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.43 / $53.66 / $58.54