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New Hampshire rates for HCPCS 73723

Mri Any Jt Lower Extrem W/O & W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$127.50 / $233.63 / $394.98
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
$118.59 / $140.00 / $389.19
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
$918.65 / $918.65 / $918.65
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.16 / $126.87 / $232.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.48 / $806.51 / $1,140.56
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.66 / $210.79 / $298.08
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$278.83 / $595.73 / $854.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.67 / $914.87 / $1,743.72
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.61 / $207.26 / $301.93
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$389.04 / $690.76 / $1,483.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.14 / $768.00 / $1,423.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.94 / $200.72 / $372.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$319.20 / $567.28 / $1,051.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.91 / $687.51 / $1,440.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.49 / $142.62 / $291.32
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$435.88 / $526.67 / $1,017.73
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.39 / $595.66 / $876.42
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.84 / $98.10 / $132.69
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$410.98 / $496.75 / $754.79