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New Hampshire rates for HCPCS 73718

Mri Lower Extrem Oth/Thn Jt W/O Contr Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$92.69 / $127.50 / $247.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $475.00 / $1,320.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.01 / $127.50 / $247.02
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$712.50 / $712.50 / $712.50
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
$177.92 / $177.92 / $179.68
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.14 / $51.39 / $203.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.99 / $467.87 / $678.41
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.46 / $131.31 / $185.69
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$328.48 / $701.80 / $1,006.31
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$157.53 / $336.57 / $488.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.20 / $542.01 / $1,100.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.34 / $130.58 / $188.93
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$220.08 / $397.22 / $967.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.69 / $445.53 / $825.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.36 / $121.71 / $231.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$180.34 / $320.50 / $594.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.52 / $396.87 / $1,007.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.57 / $89.61 / $183.11
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$240.94 / $421.14 / $815.56
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.63 / $399.91 / $550.45
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.40 / $61.61 / $83.34
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$238.86 / $286.63 / $452.40