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New Hampshire rates for HCPCS 74740

Hysterosalpingography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.44 / $34.31 / $69.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.48 / $80.65 / $222.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.66 / $128.69 / $182.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.14 / $153.26 / $287.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.35 / $178.34 / $330.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $113.86 / $193.72
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.26 / $84.74 / $127.98