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New Hampshire rates for HCPCS 75984

Change Prq Tube/Drainage Cath W Contrast Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.31 / $134.16 / $134.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.72 / $110.03 / $120.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $134.40 / $188.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.81 / $193.71 / $290.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.79 / $172.75 / $323.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.69 / $128.80 / $273.61
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.83 / $94.60 / $139.06