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New Hampshire rates for HCPCS 72131

Ct Lumbar Spine W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.49 / $81.45 / $213.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.66 / $231.03 / $689.27
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.00 / $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
$309.45 / $309.45 / $309.45
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.79 / $66.05 / $149.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.45 / $272.29 / $394.82
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
$82.16 / $175.54 / $251.70
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
$174.84 / $309.11 / $607.34
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.02 / $95.85 / $142.34
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.79 / $202.91 / $475.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.90 / $259.29 / $480.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.84 / $91.93 / $170.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.06 / $162.69 / $309.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.78 / $235.36 / $452.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.89 / $66.63 / $122.59
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$132.63 / $160.28 / $359.92
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.64 / $170.13 / $249.49
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
$85.17 / $102.20 / $196.79