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New Hampshire rates for HCPCS 73219

Mri Upper Extremity Oth Than Jt W/Contr Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.96 / $296.57 / $296.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $425.00 / $600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.44 / $693.17 / $980.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.88 / $781.05 / $1,363.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.41 / $660.07 / $1,223.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.26 / $594.82 / $1,231.74
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.07 / $548.48 / $814.62