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New Hampshire rates for HCPCS 74150

Ct Abdomen W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.06 / $108.04 / $218.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.95 / $233.43 / $694.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.02 / $54.06 / $151.31
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.92 / $172.62 / $543.21
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.47 / $43.46 / $69.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.24 / $286.81 / $411.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.02 / $115.41 / $163.21
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.22 / $171.39 / $242.37
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.33 / $70.33 / $70.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.40 / $319.08 / $583.88
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.86 / $113.79 / $166.97
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.77 / $194.56 / $434.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.66 / $269.89 / $506.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.84 / $106.97 / $203.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.83 / $162.85 / $302.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.19 / $250.00 / $438.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.35 / $79.29 / $159.56
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$113.24 / $135.88 / $253.33
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.49 / $163.04 / $239.05
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.46 / $54.49 / $73.72
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.70 / $87.24 / $185.05