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New Hampshire rates for HCPCS 75803

Lymphangiography, extremity only, bilateral, radiological supervision and interpretation

Facilitymedian $1,122 · 10th–90th $295–$8,9130%10%10th90th$1,122Professionalmedian $776 · 10th–90th $339–$2,2910%5%10th90th$776$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $1,174.90 / $1,995.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,511.89 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,698.24 / $8,912.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $398.11 / $741.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $537.03 / $977.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $1,000.00 / $2,454.71
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $316.23 / $407.38