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New Hampshire rates for HCPCS 73200

Ct Upper Extremity W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.25 / $76.39 / $200.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.66 / $222.37 / $688.49
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.00 / $46.25 / $129.60
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.67 / $184.55 / $558.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.75 / $368.85 / $368.85
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.97 / $58.30 / $149.75
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.31 / $93.31 / $93.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.71 / $337.95 / $477.92
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.29 / $96.75 / $136.82
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$227.56 / $506.92 / $716.89
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.42 / $241.19 / $341.09
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.41 / $64.41 / $64.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.83 / $378.08 / $597.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.02 / $95.85 / $139.97
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$153.52 / $275.97 / $465.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.08 / $321.82 / $596.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.84 / $89.67 / $170.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$129.22 / $229.67 / $425.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.01 / $252.32 / $494.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.97 / $66.63 / $135.66
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.87 / $186.09 / $354.69
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.57 / $176.91 / $243.51
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.47 / $47.72 / $63.05
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.09 / $108.11 / $189.46