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New Hampshire rates for HCPCS 73702

Ct Lower Extremity W/O & W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.72 / $225.31 / $225.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $350.87 / $1,093.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.63 / $55.64 / $155.79
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.76 / $298.10 / $937.94
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.93 / $44.24 / $46.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.14 / $410.51 / $595.23
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.99 / $117.49 / $166.15
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.15 / $293.02 / $420.17
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.14 / $72.14 / $72.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.37 / $458.03 / $838.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.41 / $115.81 / $169.96
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$191.60 / $331.77 / $670.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.96 / $390.91 / $724.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.95 / $108.89 / $207.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$157.01 / $279.04 / $517.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.64 / $345.97 / $748.51
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.20 / $80.17 / $161.56
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.39 / $249.54 / $586.95
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.82 / $205.50 / $261.55
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.26 / $51.25 / $55.91
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$139.22 / $154.26 / $168.29