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New Hampshire rates for HCPCS 74021

Radiologic examination, abdomen; 3 or more views

Facilitymedian $78 · 10th–90th $19$2450%20%40%10th90th$78Professionalmedian $32 · 10th–90th $13$810%5%10th90th$32$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $239.88 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $40.74 / $70.79
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $12.88 / $27.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $26.92 / $47.86
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $67.61 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $19.50 / $28.84
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $46.77 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $64.57 / $117.49
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $22.39 / $37.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $46.77 / $83.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $75.86 / $114.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $21.88 / $33.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $53.70 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $63.10 / $151.36
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $19.95 / $38.02
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $41.69 / $91.20
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$9.55 / $10.47 / $12.30
Well Sense
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $26.92 / $30.20