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New Hampshire rates for HCPCS 74290

Cholecystography Oral Contrst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.85 / $234.61 / $234.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.49 / $69.61 / $92.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.48 / $434.18 / $482.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.87 / $118.73 / $167.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.26 / $440.68 / $1,077.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.32 / $139.63 / $260.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.58 / $164.53 / $304.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.44 / $107.23 / $181.93
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.08 / $72.69 / $92.51