go back

New Hampshire rates for HCPCS 73725

Mra Lower Extremity W/Wo Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$127.89 / $335.63 / $335.63
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 / $127.50 / $335.63
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.41 / $335.00 / $931.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.55 / $708.38 / $1,015.74
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.16 / $175.54 / $248.24
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$497.32 / $1,062.57 / $1,523.61
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$249.39 / $532.84 / $764.03
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.39 / $62.39 / $62.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.28 / $790.24 / $1,440.32
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.92 / $173.26 / $251.75
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$347.89 / $603.88 / $1,101.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.56 / $674.55 / $1,250.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.06 / $167.16 / $309.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$285.50 / $507.39 / $940.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.37 / $650.57 / $1,250.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.14 / $115.45 / $231.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$375.83 / $454.12 / $2,048.61
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.39 / $482.62 / $703.41
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.77 / $82.52 / $111.13
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$300.19 / $362.83 / $572.66