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New Hampshire rates for HCPCS 74150

Computed tomography, abdomen; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.70 / $107.15 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $213.80 / $416.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $79.43 / $173.78
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.43 / $123.03 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $70.79 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $316.23 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $125.89 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.28 / $190.55 / $302.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $338.84 / $602.56
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $114.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $204.17 / $457.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $245.47 / $363.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $100.00 / $144.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.50 / $154.88 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $251.19 / $426.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $79.43 / $147.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.33 / $141.25 / $251.19
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.48 / $41.69 / $41.69