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New Hampshire rates for HCPCS 74425

Urography, antegrade, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.61 / $67.61 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $144.54 / $275.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $208.93 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $181.97 / $346.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $239.88 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $177.83 / $630.96
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.14 / $17.78 / $17.78