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New Hampshire rates for HCPCS 74220

Radiologic Exam Esophagus Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.58 / $41.92 / $84.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.95 / $91.76 / $253.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.12 / $22.59 / $64.84
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.84 / $69.18 / $193.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.53 / $71.53 / $71.53
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.05 / $22.98 / $52.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.16 / $136.77 / $193.42
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.49 / $40.36 / $57.09
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.66 / $96.40 / $136.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.57 / $172.23 / $297.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.56 / $45.42 / $85.40
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.57 / $127.93 / $213.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.65 / $189.54 / $351.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.48 / $54.45 / $103.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.17 / $130.03 / $247.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.19 / $127.14 / $241.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.76 / $39.88 / $135.99
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.81 / $93.97 / $230.42
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.89 / $89.81 / $135.63
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.73 / $26.28 / $34.54
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.47 / $62.91 / $88.83