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New Hampshire rates for HCPCS 74740

Hysterosalpingography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.62 / $34.67 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $91.20 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $141.25 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $144.54 / $288.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $165.96 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $123.03 / $223.87
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.48 / $13.49 / $13.49