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New Hampshire rates for HCPCS 72148

Mri Spinal Canal Lumbar W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$104.01 / $127.50 / $271.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.70 / $425.00 / $1,320.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.31 / $127.50 / $271.45
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$155.85 / $200.00 / $300.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.39 / $297.50 / $931.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.09 / $154.11 / $456.92
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.09 / $79.73 / $223.45
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.73 / $99.73 / $99.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.26 / $402.22 / $583.21
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
$120.65 / $257.77 / $369.63
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$88.63 / $88.63 / $88.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.06 / $448.71 / $1,092.92
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.06 / $143.55 / $208.93
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$168.30 / $296.70 / $892.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.51 / $383.00 / $709.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.39 / $137.54 / $254.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.12 / $245.47 / $454.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.92 / $351.81 / $683.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.09 / $100.02 / $202.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$180.92 / $218.62 / $551.60
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.11 / $355.20 / $498.33
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.75 / $68.03 / $92.02
Well Sense
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$121.59 / $145.91 / $164.15
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.47 / $247.14 / $390.78