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New Hampshire rates for HCPCS 74021

Radiologic Exam Abdomen 3+ Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.17 / $19.17 / $19.17
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$46.59 / $73.98 / $240.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.60 / $35.22 / $47.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.53 / $12.06 / $16.57
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.06 / $23.17 / $31.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.64 / $100.64 / $100.64
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.44 / $10.02 / $15.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.40 / $60.79 / $85.96
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.29 / $18.05 / $25.52
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.11 / $42.74 / $60.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.25 / $83.51 / $131.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.07 / $25.77 / $38.04
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.84 / $56.48 / $93.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.40 / $81.99 / $156.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.07 / $23.15 / $43.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.33 / $57.65 / $109.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.23 / $54.89 / $106.93
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.86 / $17.75 / $50.06
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.79 / $38.60 / $65.76
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $38.72 / $58.49
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.31 / $12.37 / $18.19
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.69 / $26.69 / $36.79