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New Hampshire rates for HCPCS 75574

Cta Hrt Cornry Art/Bypass Grfts Contrst 3d Post

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$105.59 / $105.59 / $169.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.20 / $349.96 / $699.77
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.53 / $105.59 / $193.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$175.68 / $244.38 / $433.22
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.34 / $257.37 / $360.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.29 / $680.04 / $975.10
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.01 / $232.90 / $329.36
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$209.28 / $447.14 / $641.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.83 / $753.31 / $1,378.43
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$135.88 / $227.61 / $334.01
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$291.89 / $512.59 / $987.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.38 / $647.58 / $1,200.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$124.79 / $221.78 / $411.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.58 / $425.78 / $789.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.46 / $548.39 / $1,145.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.46 / $156.27 / $320.68
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$305.88 / $342.57 / $827.97
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.07 / $326.20 / $575.62
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.14 / $108.05 / $146.18
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$146.28 / $181.39 / $471.46