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New Hampshire rates for HCPCS 72147

Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$354.81 / $354.81 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $436.52 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $141.25 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $630.96 / $912.01
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $190.55 / $275.42
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.82 / $114.82 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $645.65 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $173.78 / $263.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $501.19 / $776.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $147.91 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $512.86 / $912.01
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $120.23 / $239.88
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.70 / $63.10 / $63.10