go back

New Hampshire rates for HCPCS 73701

Ct Lower Extremity W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.81 / $214.75 / $214.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.77 / $286.18 / $854.62
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.97 / $52.81 / $147.84
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$135.80 / $224.62 / $706.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.24 / $199.24 / $199.24
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.13 / $67.87 / $174.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.00 / $350.39 / $508.06
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.72 / $112.65 / $159.30
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$111.27 / $237.74 / $340.89
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.83 / $68.83 / $68.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.67 / $393.48 / $714.62
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.17 / $111.07 / $162.96
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$155.41 / $276.20 / $521.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.74 / $333.65 / $618.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.36 / $107.04 / $198.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.38 / $226.38 / $419.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.68 / $287.86 / $527.07
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.05 / $88.79 / $345.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$171.91 / $196.41 / $390.19
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.84 / $213.06 / $302.81
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.14 / $52.91 / $71.58
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.38 / $136.87 / $236.39