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New Hampshire rates for HCPCS 74170

Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.10 / $125.89 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $323.59 / $707.95
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $83.18 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $218.78 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $186.21
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $81.28 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $141.25 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $602.56 / $891.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $147.91 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $446.68 / $660.69
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.18 / $83.18 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $616.60 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $134.90 / $204.17
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.03 / $467.74 / $891.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $467.74 / $691.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $114.82 / $169.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $354.81 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $426.58 / $724.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $93.33 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.78 / $331.13 / $524.81
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.69 / $48.98 / $48.98