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New Hampshire rates for HCPCS 73222

Mri Any Jt Upper Extremity W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$115.48 / $178.64 / $296.57
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
$107.82 / $127.50 / $296.57
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.41 / $335.00 / $931.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.08 / $251.08 / $251.08
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.17 / $86.42 / $142.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.67 / $653.09 / $923.59
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.06 / $158.26 / $223.81
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$231.60 / $494.83 / $707.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.69 / $738.01 / $1,291.39
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.90 / $157.38 / $229.03
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.11 / $572.49 / $1,095.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.93 / $605.30 / $1,152.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.80 / $139.79 / $279.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$265.13 / $471.19 / $873.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.12 / $557.04 / $1,043.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.27 / $108.85 / $220.19
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$359.60 / $434.52 / $823.43
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.99 / $679.95 / $1,042.98
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.41 / $74.80 / $101.20
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$445.78 / $607.66 / $850.67