go back

New Hampshire rates for HCPCS 73040

Radex Shoulder Arthrography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.87 / $49.59 / $99.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $109.63 / $302.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.48 / $24.03 / $69.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.95 / $82.76 / $232.71
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $30.20 / $30.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.50 / $184.26 / $260.58
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.88 / $37.99 / $53.72
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.63 / $146.27 / $206.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.55 / $227.89 / $404.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $53.62 / $79.04
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$129.26 / $173.83 / $324.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.68 / $255.35 / $473.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.62 / $51.24 / $97.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.05 / $202.26 / $375.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.50 / $164.55 / $437.75
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.52 / $36.40 / $74.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.91 / $122.44 / $248.05
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.58 / $113.00 / $170.67
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.00 / $25.13 / $34.04
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.04 / $88.30 / $121.71