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New Hampshire rates for HCPCS 72146

Mri Spinal Canal Thoracic W/O Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$105.35 / $127.50 / $293.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.26 / $425.00 / $1,320.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.79 / $127.50 / $293.95
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$215.47 / $297.50 / $931.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.84 / $228.07 / $228.07
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.09 / $87.00 / $223.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.93 / $401.53 / $582.21
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.59 / $144.44 / $204.26
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.33 / $257.08 / $371.28
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.07 / $96.07 / $96.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.60 / $446.63 / $1,109.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.58 / $143.55 / $209.97
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$167.85 / $295.95 / $893.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.14 / $381.53 / $708.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.39 / $133.87 / $254.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.75 / $244.81 / $453.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.81 / $330.77 / $686.28
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.16 / $99.00 / $201.14
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$180.48 / $216.54 / $551.60
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.24 / $355.37 / $498.58
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.16 / $70.88 / $92.27
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.60 / $247.30 / $391.14