go back

New Hampshire rates for HCPCS 73206

Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.28 / $162.18 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $323.59 / $660.69
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $109.65 / $263.03
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.15 / $107.15 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $691.83 / $1,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $190.55 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $707.95 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $169.82 / $257.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $537.03 / $794.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $147.91 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $501.19 / $912.01
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $120.23 / $223.87
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.70 / $63.10 / $63.10