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New Hampshire rates for HCPCS 73615

Radex Ankle Arthrography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.86 / $98.37 / $98.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.84 / $105.80 / $145.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.65 / $177.14 / $250.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.13 / $223.00 / $392.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.12 / $245.47 / $454.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.53 / $175.25 / $591.59
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.03 / $113.33 / $144.24