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New Hampshire rates for HCPCS 73722

Mri Any Jt Lower Extrem W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$115.48 / $178.64 / $297.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $475.00 / $1,320.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.10 / $127.50 / $297.95
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
$252.41 / $252.41 / $252.41
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.17 / $59.60 / $59.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.29 / $656.55 / $928.49
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.06 / $158.26 / $223.81
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$233.22 / $498.28 / $707.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.95 / $738.78 / $1,304.41
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.27 / $157.38 / $228.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$325.37 / $573.25 / $1,107.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.79 / $625.20 / $1,158.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.80 / $150.71 / $279.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$266.99 / $474.49 / $879.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.04 / $558.29 / $1,052.47
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.27 / $105.08 / $219.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$360.52 / $432.52 / $832.29
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.87 / $681.00 / $1,044.58
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.41 / $74.80 / $101.20
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$449.91 / $608.71 / $852.13