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New Hampshire rates for HCPCS 73503

Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.45 / $20.89 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $58.88 / $158.49
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.96 / $13.80 / $38.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.90 / $42.66 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.49 / $13.49 / $13.49
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.02 / $38.02 / $38.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $95.50 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.49 / $20.89 / $29.51
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$93.33 / $141.25 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.98 / $74.13 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $97.72 / $177.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.22 / $26.30 / $38.90
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.54 / $75.86 / $144.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $112.20 / $173.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.49 / $23.99 / $35.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.54 / $89.13 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $79.43 / $158.49
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.13 / $18.62 / $35.48
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.69 / $60.26 / $117.49
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.32 / $9.77 / $9.77