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New Hampshire rates for HCPCS 73719

Mri Lower Extrem Oth/Thn Jt W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.96 / $296.57 / $296.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $475.00 / $576.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.45 / $552.19 / $800.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.77 / $636.44 / $1,284.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.87 / $525.82 / $974.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.96 / $533.24 / $1,118.57
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.25 / $451.87 / $625.49