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New Hampshire rates for HCPCS 72192

Ct Pelvis W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.27 / $99.17 / $201.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $229.93 / $685.04
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.45 / $49.27 / $137.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.09 / $180.65 / $547.13
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.59 / $92.10 / $163.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.00 / $279.89 / $401.34
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.49 / $105.74 / $149.53
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.51 / $174.16 / $246.29
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.56 / $64.56 / $64.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.19 / $310.89 / $588.41
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.36 / $104.26 / $153.08
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.51 / $196.85 / $439.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.97 / $246.70 / $494.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.66 / $93.21 / $186.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.32 / $165.85 / $307.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.44 / $221.42 / $401.46
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.98 / $73.01 / $148.05
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$101.23 / $138.05 / $261.49
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.60 / $159.07 / $236.08
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.43 / $49.66 / $67.18
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.86 / $88.63 / $186.52