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New Hampshire rates for HCPCS 72198

Mra Pelvis W/Wo Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$127.41 / $331.64 / $331.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $475.00 / $1,320.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.36 / $127.50 / $331.64
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.41 / $335.00 / $931.29
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$270.23 / $270.23 / $270.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.17 / $711.83 / $1,020.69
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.84 / $174.85 / $247.27
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.33 / $536.98 / $769.97
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.60 / $63.60 / $63.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.57 / $795.77 / $1,437.68
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.58 / $171.26 / $249.89
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$350.60 / $610.72 / $1,114.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.41 / $677.84 / $1,256.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.69 / $166.51 / $308.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$287.72 / $511.34 / $947.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.49 / $547.21 / $1,107.75
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.16 / $114.08 / $240.58
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$318.26 / $454.66 / $881.95
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.26 / $481.80 / $703.17
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.95 / $81.54 / $109.81
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$300.87 / $363.66 / $573.98